Behçet's disease (BD), a systemic vasculitis disorder is associated with the Silk Road. Oral aphtous and genital ulcers, cutaneous pseudo folliculitis and uveitis are the most common manifestations. These manifestations are frequently associated with neurological symptoms, pulmonary involvement and arthritis. The etiology remains uncertain and the most fashionable hypothesis is immunological. BD disease is thought to be caused by pathogenic helper T (Th) cells. Th1, Th2, Th17 and Treg cells have been implicated in its pathogenesis. Recently spotlight has been drawn to novel cytokine of the IL-1 family: interleukin-37 (IL-37). Since its discovery, IL-37 has been studied extensively in immunological field. It has been established that IL-37 inhibits innate and adaptive immunity through suuppression of pro-inflammatory molecules. This review will discuss the role of IL-37 in BD.