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[Behçet's disease in women]
A Hamzaoui1, R Klii, O Harzallah
1Département de Médecine Interne, CHU Fattouma Bourguiba, Monastir, Tunisie. hamzaoui.amira@yahoo.fr
Insights
Behçet
Area of Science:
- Rheumatology and Immunology
- Internal Medicine
- Dermatology
Background:
- Behçet's disease (BD) is a multisystemic inflammatory condition.
- BD exhibits a male predominance, with limited research on female patients.
- Clinical manifestations vary in severity, impacting prognosis.
Purpose of the Study:
- To compare epidemiological, clinical, outcome, and therapeutic data between female and male BD patients.
- To investigate gender-specific differences in Behçet's disease manifestations.
Main Methods:
- Retrospective study of 71 female BD patients versus 111 male BD patients.
- Data collected over a 19-year period (1990-2008) at Monastir university hospital.
- Comparison of clinical features between genders.
Main Results:
- Women with BD showed a higher prevalence of erythema nodosum, necrotic pseudofolliculitis, and joint involvement.
- Men with BD had a greater incidence of genital ulcers, ocular involvement, and vascular complications.
- Statistical significance was observed for these differing manifestations (P<0.05).
Conclusions:
- Behçet's disease appears to follow a generally milder course in women compared to men.
- Findings align with previous studies indicating a less severe prognosis for BD in females.
- Highlights the importance of gender in understanding BD's clinical spectrum.
Purpose:
Behçet's disease (BD) is a multisystemic inflammatory disease characterized, on the one hand, by the frequency of benign mucocutaneous and articular manifestations, and on the other hand by the severity of ocular, neurological, vascular and digestive manifestations which may threaten functional or vital prognosis. The male BD predominance is obvious in many retrospective studies and a few studies only have focused on BD in women.
Methods:
In this study, we report the epidemiological, clinical, outcome and therapeutic data of a series of 71 female BD compared to a series of 111 male BD. This retrospective study was conducted in the internal medicine department of Monastir university hospital over a 19-year period (1990 to 2008), including all patients followed-up and treated for BD.
Results:
The comparison of clinical manifestations of BD between men and women showed the predominance of erythema nodosum (P=0.016), necrotic pseudofolliculitis (P=0.001), and joint involvement (P=0.009) in women, while genital ulcers (P=0.039), ocular involvement (P=0.003) and vascular (P=0.002) involvement were more common in men.
Conclusion:
Our results confirmed the results of previous studies regarding the benign nature of BD in women compared to men.
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