The frequency of arthritis in Adamantiades‐Behçet's disease in Greek patients

Vaiopoulos, Aristeidis G.; Kapsimali, Violetta; Kanakis, Meletios; Vaiopoulos, George; Samarkos, Michael; Zouboulis, Christos C.; Kaklamanis, Phaedon

doi:10.1111/jdv.15326

Cited by 7 publications

(4 citation statements)

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“…The study showed 35% of joint disease manifesting as polyarthritis, this is in contrast to higher prevalence of monoarthritis and oligoarthritis pattern. 23 We demonstrated a delay of 24±3 months from initial symptoms to diagnosis of the syndrome. The possible causes include delay in referral to rheumatologist, incomplete clinical picture of disease at presentation, atypical initial presentation of Behcet's as mentioned above as compared to the common understanding of aphthosis as the initial most presentation.…”

Section: Discussionmentioning

confidence: 75%

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Behcet’s Disease: Pakistani Experience

Khan

Haroon

Bashir³

et al. 2020

Pak J Med Sci

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Objective: To analyze the clinical manifestation of patients with Behcet’s disease, and performance of different classification criteria of Behcet’s disease in our population. Methods: It was a retrospective analysis of all Behcet’s disease patients attending Department of Rheumatology at Fatima Memorial Hospital, Lahore, Pakistan from April 2019 to July 2019. We performed a comprehensive clinical evaluation of patients with Behcet’s disease, with focus on patients’ age, gender and different clinical manifestations. Results: A consecutive cohort of 20 patients was studied. All patients met the International Criteria of Behcet’s Disease criteria, and 18 out of 20 patients also met International Study Group criteria. Mean age of the cohort was 33.5±10.4 years and 45% was female (male to female ratio of 1:1.2). Around 90% of cohort had recurrent oral and genital ulcers. Ocular involvement was present in 80% patients, while Joint manifestations were present in 75% of patients. Cutaneous, neurological (both central and peripheral nervous system involvement), and GIT symptoms were present in 50%, 30%, and 15% of patients, consecutively. Joint pain and eye symptoms were major initial symptoms in males, while eye symptoms and neurological symptoms were more common in female patients at disease onset. Reaching border line significance, Cutaneous (p-value=0.479), ocular (p-value=0.61), and GIT involvement (p-value=0.59) were more prevalent in males while neurological involvement (p-value=0.336) in females. Conclusion: Behcet’s disease occurs commonly in middle age population with equal male to female ratio, with mucocutaneus aphthosis, ocular disease and joint pains being common manifestation. Gastrointestinal symptoms are more common in males while neurological symptoms in females. doi: https://doi.org/10.12669/pjms.36.5.1916 How to cite this:Khan A, Haroon M, Bashir F, Zia-ud-Din. Behcet’s Disease: Pakistani Experience. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.1916 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 75%

“…The study showed 35% of joint disease manifesting as polyarthritis, this is in contrast to higher prevalence of monoarthritis and oligoarthritis pattern. 23 …”

Section: Discussionmentioning

confidence: 99%

Behcet’s Disease: Pakistani Experience

Khan

Haroon

Bashir³

et al. 2020

Pak J Med Sci

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“…Furthermore, reference lists of included manuscripts were searched by hand to ensure all relevant studies are included. In the final analysis 23 patients from 12 studies were included [ 7 – 18 ]. Summary of included studies are shown in Tables 1 and 2 .…”

Section: Search Strategymentioning

confidence: 99%

Osteonecrosis as a rare musculoskeletal complication in Behcet’s disease- the largest case series with literature review

Nejadhosseinian,

Babagoli,

Faezi

et al. 2023

BMC Rheumatol

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Background Behcet disease (BD) as a variable vessel vasculitis is mainly characterized by ocular involvement, genital and oral aphthosis, and erythema nodosum. However, major organ involvements including gastrointestinal involvement, nervous system, and vascular involvement are among the severe complications. Osteonecrosis is a rare complication of patients with BD. We aim to report the largest series of BD patients suffering from osteonecrosis. Methods We have retrospectively reviewed all patients in Iran Behcet’s Disease Registry and reported those with osteonecrosis. Patients’ medication and clinical features, symptoms, and details of osteonecrosis will also be presented. Furthermore, previously reported cases will also be reviewed. Results Seven thousand eight hundred thirty-one patients were diagnosed with BD and registered. 18 patients developed ON with an incidence of 0.22%. The most common involvement during the disease progression was oral aphthosis which appeared in 100% of patients followed by ocular involvement in 85.7% and skin involvement in 71.4%. Vascular, ocular, and nervous system involvements are significantly higher in BD patients with osteonecrosis than the other BD patients. For the management of acute episode of uveitis, deep vein thrombosis, severe gastrointestinal involvement, arterial involvement, nervous system Involvement, and joint involvement high dose of glucocorticoids is indicated. Conclusions ON tends to appear as a multifocal involvement in BD patients, hence, after diagnosis of ON in one joint other possible sites of ON should be investigated.

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“…Musculoskeletal involvement in BS is common, the frequency of joint involvement varies considerably depending on geographic location (36) and study design as well as the evaluating medical subspeciality and the definition of involvement (arthritis vs. arthropathy). Prevalence ranges from 39 to 70%, mostly around 50% (36,(78)(79)(80).…”

Section: Musculoskeletal Involvement In Bsmentioning

confidence: 99%

Behçet‘s Syndrome Apart From the Triple Symptom Complex: Vascular, Neurologic, Gastrointestinal, and Musculoskeletal Manifestations. A Mini Review

Kötter

Lötscher

2021

Front. Med.

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Behçet‘s Syndrome (BS) is a variable vessel vasculitis according to the Chapel Hill Consensus Nomenclature (1) and may thus affect any organ, including major and minor arterial and venous vessels to a varying degree and with varying frequency. Although the main features of BS are recurrent oral and genital aphthous ulcers, cutaneous lesions, ocular inflammation and arthritis—major vessel and life—or organ threatening involvement of internal organs and the central and peripheral nervous system occur. In general, BS in Europe appears to form six phenotypes of clinical manifestations (2), which are (1) mucocutaneous only, (2) predominant arthritis/articular involvement, (3) vascular phenotype, (4) ocular manifestations, which are most likely associated with CNS manifestations and HLA-B51, (5) dominant parenchymal CNS manifestations (being associated with the ocular ones), and (6) gastrointestinal involvement. Mucocutaneous manifestations are present in almost all patients/all phenotypes. In the following review, we summarize the current knowledge concerning vascular, neurologic, gastrointestinal and musculoskeletal manifestations of the disease.

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The frequency of arthritis in Adamantiades‐Behçet's disease in Greek patients

Cited by 7 publications

References 22 publications

Behcet’s Disease: Pakistani Experience

Behcet’s Disease: Pakistani Experience

Osteonecrosis as a rare musculoskeletal complication in Behcet’s disease- the largest case series with literature review

Behçet‘s Syndrome Apart From the Triple Symptom Complex: Vascular, Neurologic, Gastrointestinal, and Musculoskeletal Manifestations. A Mini Review

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