PMID- 28073242 OWN - NLM STAT- MEDLINE DCOM- 20190313 LR - 20190313 IS - 2005-6648 (Electronic) IS - 1226-3303 (Print) IS - 1226-3303 (Linking) VI - 33 IP - 5 DP - 2018 Sep TI - Clinical phenotypes of Korean patients with Behcet disease according to gender, age at onset, and HLA-B51. PG - 1025-1031 LID - 10.3904/kjim.2016.202 [doi] AB - BACKGROUND/AIMS: The clinical manifestations of Behcet disease (BD) have been reported to differ according to country, region, and race. Gender, onset age, and human leukocyte antigen (HLA)-B51 have also been known as the factors that influence the clinical features of BD. The aim of this study is to investigate the clinical phenotypes of Korean patients who visited the rheumatology clinic with BD with respect to gender, onset age, and HLA-B51. METHODS: Total 193 Korean patients (129 females and 64 males) fulfilling the international criteria for BD were retrospectively assessed. RESULTS: The mean age at disease onset and disease duration of the BD patients were 32.2 +/- 11.1 and 14.2 +/- 9.3 years, retrospectively. Females suffered more frequently from genital ulcers (90.7% vs. 75.0%, p < 0.01), peripheral arthritis (67.4% vs. 43.8%, p < 0.01), and inf lammatory low back pain (38.8% vs. 23.4%, p = 0.03) than males, while skin involvement was more frequent in males than in females (90.6% vs. 75.2%, p = 0.01). The patients with late onset of BD (> 40 years) suffered from neurologic involvement (15.9% vs. 4.2%, p = 0.007) more frequently than those with early onset of BD. The patients with HLA-B51 showed earlier onset of disease than without HLA-B51 (28.3 +/- 11.4 years vs. 33.8+/-11.6 years, p = 0.02) and the neurologic and gastrointestinal involvements were more frequent in the patients without HLA-B51 than with HLA-B51 (17.2% vs. 2.5%, p = 0.02 and 20.7% vs. 2.5%, p = 0.01, respectively). CONCLUSION: The clinical phenotypes in Korean patients with BD may be influenced by gender, onset age and HLA-B51. FAU - Ryu, Hee Jung AU - Ryu HJ AD - Department of Rheumatology, Gachon University Gil Medical Center, Incheon, Korea. FAU - Seo, Mi Ryoung AU - Seo MR AD - Department of Rheumatology, Gachon University Gil Medical Center, Incheon, Korea. FAU - Choi, Hyo Jin AU - Choi HJ AD - Department of Rheumatology, Gachon University Gil Medical Center, Incheon, Korea. FAU - Baek, Han Joo AU - Baek HJ AD - Department of Rheumatology, Gachon University Gil Medical Center, Incheon, Korea. LA - eng GR - 2013-03/Gachon University Gil Medical Center/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170112 PL - Korea (South) TA - Korean J Intern Med JT - The Korean journal of internal medicine JID - 8712418 RN - 0 (HLA-B51 Antigen) SB - IM MH - Adult MH - Age of Onset MH - *Behcet Syndrome/complications/diagnosis/immunology MH - Female MH - HLA-B51 Antigen MH - Humans MH - Male MH - *Phenotype MH - Retrospective Studies MH - Sex Factors MH - Young Adult PMC - PMC6129630 OTO - NOTNLM OT - Age of onset OT - Behcet syndrome OT - Gender identity OT - HLA-B51 antigen COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2017/01/12 06:00 MHDA- 2019/03/14 06:00 PMCR- 2018/09/01 CRDT- 2017/01/12 06:00 PHST- 2016/05/26 00:00 [received] PHST- 2016/10/23 00:00 [accepted] PHST- 2017/01/12 06:00 [pubmed] PHST- 2019/03/14 06:00 [medline] PHST- 2017/01/12 06:00 [entrez] PHST- 2018/09/01 00:00 [pmc-release] AID - kjim.2016.202 [pii] AID - kjim-2016-202 [pii] AID - 10.3904/kjim.2016.202 [doi] PST - ppublish SO - Korean J Intern Med. 2018 Sep;33(5):1025-1031. doi: 10.3904/kjim.2016.202. Epub 2017 Jan 12.