Related Experiment Video
Updated: Aug 23, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Intima-media thickness and arterial distensibility in Behçet's disease
Sait Alan1, Mehmet S Ulgen, Sedat Akdeniz
1Department of Cardiology, Dicle University School of Medicine, Diyarbakir, Turkey. alansait@hotmail.com
Insights
Behçet's disease patients show increased intima-media thickness (IMT) and decreased arterial distensibility (AD) compared to healthy individuals. These vascular changes, particularly elevated IMT, may indicate disease progression and higher risk in Behçet's disease patients.
Area of Science:
- Vascular Medicine
- Rheumatology
- Cardiology
Background:
- Behçet's disease is a systemic vasculitis with unknown etiology.
- Vascular complications affect 25% of patients, worsening prognosis.
- Understanding vascular changes is crucial for managing Behçet's disease.
Purpose of the Study:
- To investigate structural and functional vascular changes in Behçet's disease.
- To correlate these changes with disease progression and prognosis.
- To assess the utility of noninvasive vascular parameters in risk stratification.
Main Methods:
- Carotid artery ultrasonography was used to measure intima-media thickness (IMT) and arterial distensibility (AD).
- 40 Behçet's disease patients and 40 healthy controls were analyzed.
- Patients were subgrouped based on the presence or absence of vascular complications.
Main Results:
- Behçet's disease patients exhibited significantly lower AD and higher IMT compared to controls.
- Patients with vascular complications showed significantly increased IMT compared to those without.
- IMT positively correlated with systolic blood pressure, diastolic blood pressure, and pulse pressure.
Conclusions:
- Behçet's disease is associated with increased IMT and decreased AD.
- Noninvasive parameters like IMT and AD may help identify disease progression and high-risk patients.
- Further research is needed to validate these findings for clinical application.
Abstract:
The etiology of Behçet's disease, a systemic vasculitis, is unknown. Vascular involvement may be seen in 25% of patients with Behçet's disease. Vasculitis make the prognosis of Behçet's disease severe. The aim of this study is to examine the structural and functional changes and relations of these changes with progression and prognosis of Behçet's disease. For this purpose, 40 patients with Behçet's disease and 40 healthy volunteer control subjects were analyzed, additionally patients with Behçet's disease were divided into 2 subgroups as those with vascular complications and those without vascular complications. Intima-media thickness and arterial distensibility were measured in all subjects with carotid artery ultrasonography. Carotid artery distensibility was significantly lower in the patient group compared to the control group (0.67 +/- 0.2, 0.93 +/- 0.4, p < 0.05), and carotid artery IMT was significantly higher (0.59 +/- 12, 0.80 +/- 0.11, p < 0.05). A statistically significant increase in IMT has been detected (0.77 +/- 11, 0.86 +/- 11, p < 0.05) in patients with Behçet's disease with vascular involvement compared to patients with Behçet's disease without vascular involvement, arterial distensibility in patients with vascular disease was similar with those who has no vascular disease (0.69 +/- 0.25, 0.63 +/- 0.25, p > 0.05). There was a significant negative linear regression between arterial distensibility and systolic blood pressure (SBP) (B = -1 x 10(-2), p < 0.05), and a significant positive linear regression has also been found between IMT and SBP and diastolic blood pressure (DBP) and pulse pressure (PP) (B = 6.8 x 10(-3) for SBP, p < 0.05, B = 6.9 x 10(-3) for DBP, p < 0.05, B = 6 x 10(-3) for PP, p < 0.05). As a result, IMT increases and AD decreases in patients with Behçet's disease compared to results in the control group. Although more studies are required for this subject, use of noninvasive parameters such as IMT and AD, which reflect the structural and functional characteristics of vasculature, may be useful to define disease progression and subjects at high risk.
Related Concept Videos
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Arteries and Arterioles
Peripheral Artery Disease I: Introduction
