PMID- 26258691 OWN - NLM STAT- MEDLINE DCOM- 20170110 LR - 20220317 IS - 1756-185X (Electronic) IS - 1756-1841 (Linking) VI - 19 IP - 1 DP - 2016 Jan TI - Adult Behcet's disease in Iran: analysis of 6075 patients. PG - 95-103 LID - 10.1111/1756-185X.12691 [doi] AB - INTRODUCTION: This is an analysis of adult Behcet's disease (BD) in Iran, from the Iran Registry of 7187 BD patients, gathered from 1975 to 2014, among which 6075 were adults (84.5%). PATIENTS: Patients were seen by a multidisciplinary team of experts. The diagnosis was by expert opinion, not by any specific classification/diagnosis criteria. However, 96.8% of them were classified by the International Criteria for Behcet's Disease (ICBD). Adult BDs were patients who had their first manifestation at the age of 16 or later. RESULTS: Males constituted 56% (male/female ratio 1.3/1). The mean age at onset was 28.3 +/- 8.7, mean duration 10.8 +/- 8.2, and mean follow-up 5.0 +/- 6.3. Oral aphthosis was seen in 97.5%, genital aphthosis 65.7%, skin manifestations 64.6% (pseudofolliculitis 53.2%, erythema nodosum 23.9%), ocular manifestations 58.1% (anterior uveitis 41.1%, posterior uveitis 45%, retinal vasculitis 33.6%, cataract 24.4%), joint manifestations 39.4% (arthralgia 18.9%, monoarthritis 9.1%, oligoarthritis 17.8%, ankyloing spondylitis 2%), gastrointestinal manifestations 7% (gastroduodenitis 2.3%, peptic ulcer 1.2%, diarrhea 2.1%, rectorrhagia 1.0%, abdominal pain-nausea 1.8%), neurological manifestations 10.6% (central 3.7%, peripheral 0.3%, headache 7.6%), vessel involvement (large vessel 1.7% with large vein thrombosis 1.1% and arterial involvement 0.7%, phlebitis 6.6%, superficial phlebitis 2.3%), epididymitis 4.6%, pulmonary manifestations 1% and cardiac manifestations 0.6%. Positive pathergy test was seen in 52.3%, human leukocyte antigen (HLA)-B5 in 54%, HLA-B51 in 48.9%, and high erythrocyte sedimentation rate in 52.8% of patients. By International Study Group (ISG) criteria 77.9% were classified, compared to ICBD revised criteria with 96.9%. The specificity of ISG was 99.2% and ICBD 97.2%. CONCLUSION: Results are near the nationwide surveys from Japan, China, Korea and Germany. CI - (c) 2015 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd. FAU - Davatchi, Fereydoun AU - Davatchi F AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Chams-Davatchi, Cheyda AU - Chams-Davatchi C AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Shams, Hormoz AU - Shams H AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Nadji, Abdolhadi AU - Nadji A AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Faezi, Tahereh AU - Faezi T AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Akhlaghi, Massoomeh AU - Akhlaghi M AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Sadeghi Abdollahi, Bahar AU - Sadeghi Abdollahi B AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Ashofteh, Farimah AU - Ashofteh F AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Ghodsi, Zahra AU - Ghodsi Z AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Mohtasham, Negin AU - Mohtasham N AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. FAU - Shahram, Farhad AU - Shahram F AD - Behcet's Disease Unit, Rheumatology Research Center, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran. LA - eng PT - Journal Article DEP - 20150810 PL - England TA - Int J Rheum Dis JT - International journal of rheumatic diseases JID - 101474930 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Behcet Syndrome/diagnosis/*epidemiology MH - Disease Progression MH - Female MH - Humans MH - Iran/epidemiology MH - Male MH - Predictive Value of Tests MH - Prognosis MH - Registries MH - Risk Factors MH - Sex Factors MH - Time Factors MH - Young Adult OTO - NOTNLM OT - Behcet's disease EDAT- 2015/08/11 06:00 MHDA- 2017/01/11 06:00 CRDT- 2015/08/11 06:00 PHST- 2015/08/11 06:00 [entrez] PHST- 2015/08/11 06:00 [pubmed] PHST- 2017/01/11 06:00 [medline] AID - 10.1111/1756-185X.12691 [doi] PST - ppublish SO - Int J Rheum Dis. 2016 Jan;19(1):95-103. doi: 10.1111/1756-185X.12691. Epub 2015 Aug 10.