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Behçet's disease and activities of daily living

Aoi Nagano1, Masaki Takeuchi1, Nobuyuki Horita2

  • 1Department of Ophthalmology and Visual Science.

Rheumatology (Oxford, England)
|June 19, 2021
PubMed

Insights

Behçet

Area of Science:

  • Rheumatology and Immunology
  • Ophthalmology
  • Neurology

Background:

  • Behçet's disease is a rare systemic vasculitis with varied clinical manifestations.
  • Activities of daily living (ADL) are significantly impacted in chronic diseases, but large-scale data for Behçet's disease are lacking.

Purpose of the Study:

  • To comprehensively evaluate the impact of Behçet's disease on activities of daily living (ADL) using a large national registry.
  • To identify specific clinical factors associated with impaired ADL and the need for assistance in Behçet's disease patients.

Main Methods:

  • Analysis of a national registry dataset of 2960 patients with confirmed or suspected Behçet's disease.
  • Categorization of ADL into four levels: normal, limited but not assisted, partially assisted, and fully assisted.
  • Logistic regression analysis to determine risk factors for impaired ADL and need for physical assistance.

Main Results:

  • Nearly 40% of Behçet's disease patients experienced impaired ADL.
  • Chronic ocular lesions, paralysis, psychosis, and arthritis were significantly associated with impaired ADL.
  • Ocular lesions, paralysis, and psychosis strongly predicted the need for physical assistance.

Conclusions:

  • Ocular lesions, neurological manifestations (paralysis, psychosis), and arthritis significantly affect ADL in Behçet's disease.
  • Patients with ocular or neurological involvement are more likely to require physical assistance, highlighting the need for targeted supportive care.
Abstract

Keywords:
Behçet’s diseaseactivities of daily livingsurveys and questionnaires

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