Crohn hastaligi ve Behçet hastaliginin intestinal tutulumunun ayirici tanisi her zaman kolay olamamaktadir. Otuz üç yasinda kadin hasta, ön planda yaygin eklem sikâyetleri ile romatoloji poliklinigine basvurdu. Uzun süredir devam eden anemi ve gastrointestinal yakinmalarinin aydinlatilmasi asamasinda, endoskopide derin ülserler gözlendi. Olgumuz; Behçet hastaligi intestinal tutulumu ve Crohn hastaligi ayirici tanisi ayrintili degerlendirmelerle yapildiktan sonra, “Enteropatik Artrit” tanisi aldi. Eklem sikâyetleri ile basvuran hastalarda sistemik degerlendirmenin önemi ve eklem tutulumunun karakterinin iyi analiz edilmesinin taniya katkisi, bu vaka ile beraber bir kez daha vurgulanmistir. Bu derlemede ayni zamanda, Crohn hastaligi ve Behçet hastaligi intestinal tutulumunun ayirici tanisi, gastrointestinal, ekstra intestinal bulgulari ve endoskopide gözlenen ülser özellikleri açisindan özetlenmistir.
The differential diagnosis of intestinal involvement in Crohn’s disease and Behcet’s disease can be challenging. A 33-year-old female patient attended to the rheumatology outpatient clinic with the complaint of widespread joint involvement. Deep ulcers were observed on the endoscopy when long-lasting anemia and gastrointestinal complaints were evaluated. The patient was diagnosed with “enteropathic arthritis” after being assessed regarding intestinal involvement of Behcet’s disease and Crohn’s disease in detail for differential diagnosis. In this review, the importance of systematic evaluation of all disease characteristics and the benefit of analysis of the character of joint involvement in patients with joint complaints were emphasized. The differential diagnosis of intestinal involvement of Crohn’s disease and Behcet’s disease is also summarized in terms of gastrointestinal and extraintestinal findings and endoscopic ulcer characteristics.