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Behçet's syndrome: a review for the genitourinary medicine physician
1Jefferiss Wing, St Mary's Hospital, London, UK.
Insights
Behçet
Area of Science:
- Rheumatology and Immunology
- Dermatology and Venereology
Background:
- Behçet's syndrome is a rare multisystem vasculitis of unknown cause.
- Genital ulceration is a common presenting symptom for genitourinary medicine physicians.
Purpose of the Study:
- To outline the diagnostic criteria for Behçet's syndrome.
- To emphasize the importance of early ophthalmological referral for potential eye involvement.
- To highlight the multidisciplinary approach required for managing Behçet's syndrome.
Main Methods:
- Clinical history and examination.
- Application of new diagnostic criteria, including the pathergy test.
- Ophthalmological assessment for ocular manifestations.
Main Results:
- Accurate diagnosis is achievable through careful clinical evaluation and diagnostic criteria.
- Ocular involvement can be severe, necessitating prompt specialist intervention.
- Management requires collaboration among various medical specialists.
Conclusions:
- Early diagnosis and prompt referral are crucial for managing Behçet's syndrome.
- A multidisciplinary team approach ensures optimal patient care.
- Understanding the varied presentations is key for physicians encountering this condition.
Abstract:
Behcet's syndrome is a multisystem disorder due to vasculitis of unknown aetiology. It may present to genitourinary medicine physicians with genital ulceration. Careful history-taking and clinical examination should allow a correct diagnosis which may be confirmed by reference to the new diagnostic criteria including performing a pathergy test. Of particular importance is a prompt referral to an ophthalmologist for an ocular slit-lamp assessment as eye involvement can be severe and therapy needs to be started early in the course of the illness. The management of Behçet's syndrome may also involve rheumatologists, gastroenterologists, neurologists and immunologists. Close liaison between these clinicians may be necessary to provide optimum care for the patient with Behçet's syndrome.
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