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Increased prevalence of gastrointestinal involvement in Behçet's syndrome patients with gynaecological disorders
Isso Saito1, Yusho Ishii1, Hiroko Sato1
1Department of Rheumatology, Tohoku University Hospital, Sendai, Japan.
Objectives:
This study aimed to investigate the clinical significance of coexisting gynaecological disorders (GD) in patients with Behçet's syndrome (BS).
Methods:
This study included patients with BS who visited Department of Rheumatology in the Tohoku University Hospital from 2022 to 2023. Among these patients, the manifestation and the treatment of BS were investigated.
Results:
This group included 37 female patients with BS and GD (BS-FG), 36 female patients with BS without any GD (BS-FWG) and 67 male patients with BS (BS-M). The prevalence of gastrointestinal involvement was significantly higher in BS-FG (48.6%) than in BS-FWG (22.2%, P = .041) and BS-M (17.9%, P = .0043). The prevalence of ocular involvement was lower in BS-FG (35.1%) than in BS-FWG (50%, P = .24) and BS-M (64.2%, P = .022). The frequency of anti-tumour necrosis factor-α antibody usage was lower among patients in the BS-FWG group than those in the BS-M and BS-FG groups (P = .0055 and P = .20). The maximum prednisolone dosage and the rates of surgery for BS tended to be higher in BS-FG and BS-M than in BS-FWG.
Conclusions:
Our study revealed that gastrointestinal involvement is more common in BS-FG, and BS-FG frequently requires intensive treatment similar to BS-M.
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