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Vascular involvement in Behçet's disease: 8-year audit
M A Kuzu1, C Ozaslan, C Köksoy
1Department of Surgery, University of Ankara, Ibn-i Sina Hospital, Turkey.
World Journal of Surgery
|November 1, 1994
Summary
Vascular involvement is common in Behçet's disease, affecting 16% of patients in this study. Venous issues like thrombosis were most frequent, followed by arterial aneurysms, highlighting the need for awareness among vascular surgeons.
Area of Science:
- Vascular Medicine
- Rheumatology
- Immunology
Background:
- Behçet's disease is a multisystemic inflammatory disorder.
- It is characterized by recurrent oral and genital ulcers, and eye inflammation.
- Vascular lesions are a known, but variably reported, complication.
Purpose of the Study:
- To determine the incidence of vascular involvement in Behçet's disease patients.
- To analyze the types and prevalence of vascular manifestations.
- To assess the rate of vascular involvement at a specific hospital between 1983-1992.
Main Methods:
- Retrospective analysis of 1200 patients diagnosed with Behçet's disease.
- Review of medical records to identify and categorize vascular complications.
- Classification of lesions into venous and arterial types.
Main Results:
- Overall vascular involvement was observed in 16% of patients (192/1200).
- Venous manifestations occurred in 14.4% (173/1200), primarily venous thrombosis (12.8%).
- Arterial manifestations occurred in 1.6% (19/1200), with aneurysms being the most common type.
Conclusions:
- Vascular complications are a significant concern in Behçet's disease.
- Venous thrombosis is the predominant vascular manifestation.
- Vascular surgeons should consider Behçet's disease in young adults presenting with vascular issues.