“…Aktaş recently reported a 27-year-old male patient with clinical features quite similar F I G U R E 1 (A) an aphthous ulcer with a serous base, oval and sharply circumscribed, about 4 mm in diameter, in the left lateral aspect of the external urethral orifice; (B) oral aphthae; (C) a pustule with peripheral, partial erythema on the back LETTER to our case, but with negative pathergy. 4 Maia et al demonstrated that a patient with typical BD findings had a concomitant cervical ulcer. 5 Interestingly, Cobilinschi et al reported that a 34-year-old female patient with BD who was admitted with progressive dysuria, pain in the right lumbar region, and hydronephrosis was determined a necrotic ulcer in the ureter whose histopathology was compatible with vasculitis.…”