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Published on: February 8, 2019
Characteristics of vascular involvement in Behçet's disease
N Düzgün1, A Ateş, O T Aydintuğ
1Department of Clinical Immunology and Rheumatology, Ankara University School of Medicine, Ankara, Turkey.
Insights
Vascular involvement affects nearly 40% of Behçet
Area of Science:
- Rheumatology
- Vascular Medicine
- Internal Medicine
Background:
- Behçet's disease (BD) is a multisystemic inflammatory disorder.
- Vascular involvement, a serious complication, affects 25-50% of BD patients.
- Understanding vascular characteristics in BD is crucial for patient management.
Purpose of the Study:
- To investigate the prevalence and characteristics of vascular involvement in Behçet's disease patients.
- To identify clinical factors associated with vascular complications in BD.
Main Methods:
- A cohort of 180 Behçet's disease patients was analyzed.
- Vascular involvement was diagnosed using clinical signs, Doppler ultrasonography, and advanced imaging (CT/MRI angiography).
- Detailed clinical data were collected for all participants.
Main Results:
- Vascular involvement was observed in 39.4% of patients.
- Male sex was significantly more frequent in patients with vascular lesions (89.8% vs. 63.3%).
- Deep vein thrombosis (DVT) in lower extremities was the most common manifestation (78.9%), with a strong association between DVT and superficial thrombophlebitis.
- Erythema nodosum was more frequent, while ocular involvement was less frequent in patients with vascular lesions.
Conclusions:
- Vascular complications are frequent and significant in Behçet's disease.
- The study highlights specific clinical associations, such as male sex and erythema nodosum, with vascular involvement in BD.
Objective:
Behçet's disease (BD) is a multisystemic inflammatory disorder classified among the vasculitides, which can affect all types and sizes of blood vessels. Vascular involvement may be seen in 25-50% of BD patients. In this study, we examined the characteristics of vascular involvement in patients with BD.
Methods:
One hundred and eighty patients with BD were included in the study. The diagnosis of vascular involvement was made on clinical signs, by Doppler ultrasonography and/or angiography using computed tomographic or magnetic resonance techniques where appropriate. Detailed clinical characteristics were recorded for each patient.
Results:
Seventy-one patients (39.4%) had vascular involvement. In patients with vascular lesions, the frequency of male sex was significantly higher than in patients without vascular lesions (89.8% vs. 63.3%, respectively; p < 0.001). Of 71 BD patients with vascular involvement, 68 had venous lesions (95.8%). Three patients had arterial lesions without venous thrombosis. Eleven patients had arterial involvement with venous thrombosis. The most frequent type of vascular involvement was deep venous thrombosis in the lower extremities (n = 56, 78.9%). There was a significant association between deep venous thrombosis and superficial thrombophlebitis (r = 0.325, p < 0.01). Twenty-four patients (33.8%) had vena cava thrombosis and two had vena hepatica thrombosis. In patients with vascular involvement, the frequency of erythema nodosum was significantly higher (p = 0.001) and the frequency of ocular involvement was significantly lower (p < 0.05) than in patients without vascular involvement.
Conclusion:
Our study illustrates the frequency and significance of vascular involvement in BD.
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