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Published on: November 25, 2022
Fever in Behçet's syndrome.
Emire Seyahi1, Huseyin Karaaslan, Serdal Ugurlu
1University of Istanbul, Cerrahpasa Medical Faculty, Department of Rheumatology, University of Istanbul, Turkey. eseyahi@yahoo.com.
Fever is reported in 22% of Behçet's syndrome (BS) patients, often linked to vascular or neurological issues. However, measured temperatures in active BS cases showed only a modest increase compared to healthy controls.
Area of Science:
- Rheumatology
- Immunology
- Internal Medicine
Background:
- Fever is considered uncommon in Behçet's syndrome (BS), typically associated with vascular disease.
- This study aimed to investigate the prevalence and characteristics of fever in BS patients.
Purpose of the Study:
- To determine the frequency of fever episodes in Behçet's syndrome (BS) patients.
- To explore the association between fever and major organ involvement in BS.
- To measure body temperature in BS patients with active lesions.
Main Methods:
- A questionnaire-based survey of 500 BS patients, 94 with familial Mediterranean fever (FMF), 100 with ankylosing spondylitis (AS), 72 with systemic lupus erythematosus (SLE), and 100 healthy controls (HC) for fever history.
- Body temperature measurement in 98 newly diagnosed BS patients with active lesions and 61 HC, with temperature recorded thrice.
Main Results:
- 22% of BS patients reported a history of fever, compared to 87% in FMF, 33% in SLE, and 8% in AS. No HC reported fever.
- Fever history in BS patients correlated with vascular, neurological, or joint involvement.
- Mean body temperature in BS patients (36.72±0.42ºC) was statistically higher, though modestly, than in HC (36.56±0.27ºC).
Conclusions:
- A history of fever episodes was reported by 22% of Behçet's syndrome patients.
- Fever in BS is strongly associated with major organ involvement, including vascular, neurological, and joint systems.
- The temperature elevation associated with active BS lesions is generally modest.
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