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Arterial manifestations, including occlusion and aneurysms, affected 2.2% of Behçet
Area of Science:
- Vascular Medicine
- Rheumatology
- Internal Medicine
Background:
- Behçet's disease is a rare multisystem inflammatory disorder.
- Vascular involvement is a serious complication of Behçet's disease.
- Understanding the spectrum of arterial manifestations is crucial for patient management.
Purpose of the Study:
- To determine the prevalence and types of arterial manifestations in Behçet's disease patients.
- To characterize the demographic and clinical features of patients with arterial involvement.
Main Methods:
- Retrospective analysis of 450 patients diagnosed with Behçet's disease over a 10-year period.
- Detailed review of medical records to identify and classify arterial manifestations (occlusion, aneurysm).
- Demographic data including age and sex were collected.
Main Results:
- Ten patients (2.2%) exhibited arterial manifestations.
- Manifestations included arterial occlusion (radial, superficial femoral arteries) and aneurysms (subclavian, innominate, iliac arteries, abdominal aorta).
- Three patients presented with both occlusion and aneurysm in pulmonary, iliac, and renal arteries. The affected patients were predominantly male, with a mean age of 30 years.
Conclusions:
- Arterial complications occur in a small but significant proportion of Behçet's disease patients.
- Aneurysms and occlusions represent the primary vascular pathologies.
- Early recognition and management of vascular manifestations are vital in Behçet's disease.
Abstract:
Ten (2.2%) of 450 patients with Behçet's disease seen over a 10 year period had arterial manifestations. This was demonstrated by occlusion of radial and superficial femoral arteries in 3, aneurysm of subclavian, innominate, common and external iliac arteries and abdominal aorta in 4, both occlusion and aneurysm of pulmonary, external iliac and renal arteries in 3. All patients were male except one. Their ages ranged from 24-36 years with a mean age of 30 +/- 5 years.