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Published on: July 11, 2013
Treatment strategies for Behçet's disease
1Department of Rheumatology, Cerrahpasa Medical Faculty, Cerrahpasa Tip Fakultesi, Ic Hastaliklari ABD, 34300 Aksaray, Istanbul, Turkey. izzetfresko@yahoo.com
Insights
Behçet
Area of Science:
- Rheumatology
- Immunology
- Vascular Medicine
Background:
- Behçet's disease (BD) is a multisystemic vasculitis with diverse clinical manifestations, including oral/genital ulcers, skin lesions, uveitis, and systemic involvement of blood vessels, CNS, and GI tract.
- BD prevalence varies geographically, being rare in Western countries but common in the Middle and Far East.
Purpose of the Study:
- To review and discuss current treatment strategies for Behçet's disease.
- To explore the range of therapeutic options, from conservative management to intensive immunosuppressive therapy.
Main Methods:
- A systematic literature search was conducted using Cochrane and Medline databases in June 2008.
- European League Against Rheumatism (EULAR) recommendations for BD management were incorporated.
Main Results:
- Significant advancements in managing ocular and musculoskeletal manifestations of BD have been observed over the past two decades.
Conclusions:
- While progress has been made in certain aspects of Behçet's disease management, challenges persist in treating thrombophlebitis, CNS, and gastrointestinal involvement.
Background:
Behçet's disease (BD) is a multisytemic vasculitis characterized by oral and genital ulceration, other skin lesions, uveitis and manifestations affecting the blood vessels, CNS and gastrointestinal system. It is rare in the Western world but is frequent in the Middle and Far East.
Objective:
The aim of this review is to discuss treatment strategies in BD. These might vary between simple reassurance and a combination of immunosuppressives.
Methods:
A systematic literature search was done using the Cochrane and Medline databases in June 2008. The EULAR recommendations for the management of BD were also taken into account.
Conclusion:
The last two decades have witnessed considerable improvement in eye disease and musculoskeletal involvement. However, the treatment of thrombophlebitis, CNS, and gastrointestinal manifestations remains problematic.
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