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The clinical feature of Behçet's disease in Northeastern China
Yingbin Shang1, Shixin Han, Jiuhong Li
1Department of Dermatology, No.1 Hospital of China Medical University, Shenyang, China. shangyingbin@126.com
Insights
Behçet
Area of Science:
- Rheumatology
- Immunology
- Genetics
Background:
- Behçet's disease (BD) is a chronic, multisystem vasculitis with varied clinical presentations.
- Clinical features of BD are known to differ based on geography and gender.
- Understanding regional variations is crucial for accurate diagnosis and management.
Purpose of the Study:
- To investigate the specific clinical characteristics of Behçet's disease patients in Northeastern China.
- To identify geographical and gender-specific differences in BD manifestations within this region.
Main Methods:
- Retrospective analysis of 116 patients meeting the International Study Group for BD criteria.
- Recording of clinical manifestations and laboratory test results.
- Statistical analysis to compare features based on gender.
Main Results:
- BD onset typically between 20-39 years, with a slight female predominance.
- Most common symptoms: oral ulcers, skin lesions, positive pathergy reaction/genital ulcers, ocular lesions.
- Females showed higher rates of erythema nodosum-like lesions and joint involvement; males had more gastrointestinal issues.
- Human leukocyte antigen (HLA)-B*51 allele found in 30.9% of patients; some immunological abnormalities noted.
Conclusions:
- Clinical features of Behçet's disease exhibit significant geographical and gender-based variations.
- Genetic factors, such as HLA-B*51, and immune system dysregulation likely play a role in BD pathogenesis.
Purpose:
Behçet's disease (BD) is a chronic, relapsing, multi-system vasculitis of unknown aetiology with complicated and diversified clinical features predominantly involving oral and genital ulcers, and ocular and cutaneous lesions. The clinical features of this disease have been described to be different according to geographical areas and gender. We investigated the specific clinical features of BD patients in Northeastern China.
Materials And Methods:
116 patients involved in this study fulfilled the classification criteria of the International Study Group for BD. The clinical manifestations and results of laboratory tests of BD were recorded in each patient.
Results:
The onset was typically between 20-39 years with a slight female predominance. Oral ulcers were the most common manifestation, followed by skin lesions, positive pathergy reaction/genital ulcers, and ocular lesions. Vascular lesion and epididymitis were rare in patients with BD. The frequency of erythema nodosum-like lesion and articular involvement were significantly higher in females, while gastrointestinal involvement was significantly higher in males. The results of laboratory tests showed that the human leukocyte antigen (HLA)-B*51 alleles were positive in 30.9% of patients and the immunological abnormities were present in some patients.
Conclusion:
The clinical features of BD showed geographical and gender difference. Genetic and immune factors might participate in aetiopathogenesis of BD.
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