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Behçet’s disease (BD) is a vasculitis mainly affecting populations living along the ancient “Silk Route”, with a prevalence of 10–400 cases every 100.000 persons. It is associated with the histocompatibility antigen HLAB51 and is driven by T cell activation. Clinically, BD is characterised by recurrent episodes of oral ulcers, genital ulcers, skin lesions, eye lesions, arthritis, thrombophlebitis, and, less commonly, gastrointestinal, neurological and pulmonary involvement. Superficial and deep thrombophlebitis are the most common vascular features of BD. They are due to inflammation of the vessel wall. Arteries, which are much less commonly involved, may develop aneurysms or occlusions. BD therapy is based on the following agents: corticosteroids, azathioprine, cyclosporine A, colchicine, methotrexate, cyclophosphamide and TNF antagonists. The treatment should be tailored to the individual patient according to type and severity of involvement. Anticoagulant and antiplatelet agents should not be used in the therapy of BD thrombosis.
Archivio di Ortopedia e Reumatologia – Springer Journals
Published: Jan 10, 2011
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