Behçet syndrome: a contemporary view

Behçet syndrome: a contemporary view

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KEY POINTS * Both the disease presentation and evidence from basic studies suggest more than one pathogenetic mechanism is involved in Behçet syndrome. Recognized vascular manifestations in


Behçet syndrome include venous claudication, bronchial arterial collaterals (causing haemoptysis) and 'silent' Budd–Chiari syndrome * The diagnostic specificity of certain


manifestations, such as eye disease or vascular involvement, might be more pathognomonic than other manifestations, such as gastrointestinal ulcerations * In considering the clinical and the


basic science findings in Behçet syndrome, the weight of evidence suggests Behçet syndrome should not to be grouped with other, seemingly related, conditions ABSTRACT The presence of


symptom clusters, regional differences in disease expression and similarities with, for example, Crohn's disease suggest multiple pathological pathways are involved in Behçet syndrome.


These features also make formulating disease criteria difficult. Genetic studies have identified _HLA-B*51_ to be the important genetic risk factor. However, the low prevalence of _HLA-B*51_


in many patients with _bone fide_ disease, especially in non-endemic regions, suggests other factors must also be operative in Behçet syndrome. This consideration is also true for the newly


proposed 'MHC-I-opathy' concept. Despite lacking a clear aetiological mechanism and definition, management of manifestations that include major vascular disease (such as


Budd–Chiari syndrome and pulmonary artery involvement), eye disease and central nervous system involvement has improved with the help of new technology. Furthermore, even with our incomplete


understanding of disease mechanisms, the prognoses of patients with Behçet syndrome, including those with eye disease, continue to improve. Access through your institution Buy or subscribe


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ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS BEHÇET SYNDROME Article 16 September 2021


AN INTEGRATED CLINICAL AND MOLECULAR STUDY OF A COHORT OF TURKISH PATIENTS WITH MARFAN SYNDROME HARBORING KNOWN AND NOVEL _FBN1_ VARIANTS Article 22 January 2021 REVISED DIAGNOSTIC CRITERIA


FOR NEUROFIBROMATOSIS TYPE 1 AND LEGIUS SYNDROME: AN INTERNATIONAL CONSENSUS RECOMMENDATION Article Open access 19 May 2021 CHANGE HISTORY * _ 24 JANUARY 2018 In the original version of


this article, the indicated dosage of colchicine, 1.5 mg per day, was incorrectly given as 1.5 mg/kg per day in figure 4. This error has now been corrected in the print, PDF and HTML


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Download references ACKNOWLEDGEMENTS The authors thank H. Direskeneli (Marmara University, Turkey) for his valuable comments during manuscript preparation. AUTHOR INFORMATION AUTHORS AND


AFFILIATIONS * Academic Hospital, Internal Medicine (Rheumatology), Nuhkuyusu cad. Uskudar, Istanbul, 34668, Turkey Hasan Yazici * Department of Internal Medicine, Division of Rheumatology,


University of Istanbul, Cerrahpaşa Medical Faculty, 181 Kocamustafapaşa, Istanbul, 34098, Fatih, Turkey Emire Seyahi & Gulen Hatemi * Department of Medicine (Rheumatology), New York


University School of Medicine, NYU Hospital for Joint Diseases, 333 East 38th Street, New York, 10016, NY, USA Yusuf Yazici Authors * Hasan Yazici View author publications You can also


search for this author inPubMed Google Scholar * Emire Seyahi View author publications You can also search for this author inPubMed Google Scholar * Gulen Hatemi View author publications You


can also search for this author inPubMed Google Scholar * Yusuf Yazici View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS All authors


researched the data for the article, contributed substantially to the discussions of its content, wrote the manuscript and reviewed the manuscript before submission. CORRESPONDING AUTHOR


Correspondence to Hasan Yazici. ETHICS DECLARATIONS COMPETING INTERESTS E.S. has received honoraria or speaker's fees from Pfizer, MSD, Mustafa Nevzat and UCB Pharma. G.H. has received


honoraria, speaker fees and/or research grants from Abbvie, BMS, Celgene, Mustafa Nevzat, MSD, Pfizer and UCB Pharma. Y.Y. has received research grants from BMS, Celgene and Genentech, and


has received consulting fees from Celgene. H.Y. declares no competing interests. POWERPOINT SLIDES POWERPOINT SLIDE FOR FIG. 1 POWERPOINT SLIDE FOR FIG. 2 POWERPOINT SLIDE FOR FIG. 3


POWERPOINT SLIDE FOR FIG. 4 POWERPOINT SLIDE FOR TABLE 1 POWERPOINT SLIDE FOR TABLE 2 RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Yazici, H., Seyahi,


E., Hatemi, G. _et al._ Behçet syndrome: a contemporary view. _Nat Rev Rheumatol_ 14, 107–119 (2018). https://doi.org/10.1038/nrrheum.2017.208 Download citation * Published: 03 January 2018


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