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Published on: September 20, 2018
Ocular Manifestations of Pediatric Behçet's Disease
1Department of Clinical Ophthalmology, University College London (UCL), London, United Kingdom. AliNouraeinejad@yahoo.com.
Insights
Pediatric Behçet's disease (BD) is a rare inflammatory condition, often presenting with ocular issues like uveitis and retinal vasculitis before age 16. Research is ongoing for its pathogenesis, treatment, and future directions.
Area of Science:
- Rheumatology
- Ophthalmology
- Pediatrics
Background:
- Behçet's disease (BD) is a chronic, multisystemic inflammatory disorder of unknown cause.
- While typically emerging in adulthood, early symptoms can manifest before age 16.
- The prevalence and specific characteristics of pediatric BD remain largely uncharacterized.
Purpose of the Study:
- To review the current understanding of pediatric Behçet's disease.
- To highlight common ocular manifestations in children with BD.
- To discuss pathogenesis, treatment strategies, and future research avenues for pediatric BD.
Main Methods:
- Literature review focusing on pediatric Behçet's disease.
- Analysis of reported cases and clinical characteristics in children.
- Synthesis of information on ocular manifestations, etiology, and management.
Main Results:
- Pediatric BD is likely rare, with onset often occurring before 16 years of age.
- Common ocular findings include anterior uveitis, posterior uveitis, panuveitis, retinal vasculitis, and retinitis.
- The etiology and optimal treatment for pediatric BD require further investigation.
Conclusions:
- Pediatric Behçet's disease presents unique challenges in diagnosis and management.
- Ocular involvement is a significant feature of pediatric BD.
- Further research is crucial to elucidate pathogenesis, refine treatments, and improve outcomes for affected children.
Abstract:
Behçet's disease (BD) is a multi-systemic, chronic inflammatory disease of unknown etiology, with a multisystemic recurrent course and variable vasculitis. Although the disease onset is usually between the second and fourth decades of life, the preliminary symptoms and signs may appear under the age of 16 years. The prevalence of BD in children is unknown, but it is probably very low. The most common ocular manifestations of pediatric BD include anterior and posterior uveitis, panuveitis, retinal vasculitis, and retinitis. The pathogenesis, treatment, and future directions for pediatric BD are also briefly discussed.
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