Behçet's disease or Adamantiades-Behçet disease? An evidence-based historical survey

Cem Evereklioglu1

  • 1Department of Ophthalmology, Erciyes University Medical Faculty, Kayseri, Turkey. evereklioglu@erciyes.edu

Insights

To ensure consistent terminology for Behçet's disease, this review traces its historical progression and emphasizes retaining the established eponym "Behçet" to avoid confusion in medical literature and patient care.

Area of Science:

  • Medical History
  • Rheumatology
  • Vascular Medicine

Background:

  • This review examines the historical evolution of Behçet's disease descriptions from ancient texts to modern medical literature.
  • It aims to resolve the naming dilemma surrounding the eponym "Behçet" for authors, editors, and researchers.
  • The study highlights the importance of consistent terminology in scientific discourse and patient understanding.

Observation:

  • While Hippocratic writings noted symptoms, Dr. Hulusi Behçet's publications in 1941 provided the first clear description of the "Triple Symptom Complex."
  • The historical progression is analyzed across three distinct periods: pre-Behçet, Behçet, and post-Behçet.
  • This chronological analysis underscores the gradual recognition and definition of the syndrome.

Findings:

  • The "Classical Triad" of symptoms, indicative of a distinct syndrome, was definitively described by Dr. Hulusi Behçet.
  • Despite earlier mentions, Behçet's disease was formally recognized and named after his seminal publications.
  • The historical record supports the established eponym "Behçet's disease" since 1941.

Implications:

  • Maintaining the eponym "Behçet's disease" is crucial to prevent unnecessary confusion among healthcare professionals, medical students, and the public.
  • Standardizing the name avoids disrupting established medical knowledge and patient identification with their condition.
  • Consistent nomenclature is vital for effective communication in Behçet's disease research and clinical management, especially given its potential for severe morbidity.
Abstract

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