계명대학교 의학도서관 Repository

Clinical Analysis of Behcet Disease : Arthritic Manifestations in Behcet Disease may present as Seronegative Rheumatoid Arthritis or Palindromic Rheumatism

Metadata Downloads
Author(s)
Jae-Ho Park
Keimyung Author(s)
Park, Jae Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Internal Medicine
Issued Date
1999
Volume
14
Issue
1
Keyword
BehcetArthritisSeronegativeRheumatoid
Abstract
Objectives

To analyze arthritic manifestations in Behcet disease, which is one of the most common manifestations of Behcet disease.


Methods

Among the patients who visited the Rheumatology Division, Keimyung University Dongsan Medical Center, Taegu, Korea from March 1997 to February 1998, 35 patients, with more than 3 months follow-up, were compatible for the diagnosis of Behcet disease according to the Shimizu criteria, after exclusion of uncertain or possible Behcet cases. The presence of various manifestations was evaluated. Regarding the joint manifestations, the involved joint, signs and the pattern of the articular symptoms were examined. Basic laboratory tests, HLA studies and simple radiologic studies were done.


Results

All 35 patients had evident, recurrent, painful oral ulcers by the study definition. Genital ulcers were found in 29%, skin lesions in 77%, uveitis in 9%, gastrointestinal ulcerations in 6% and vascular manifestations in 6%. Joint manifestations appeared in 97%. Knee(91%), proximal interphalangeal (53%) and metacarpophalangeal joints(21%) were the main sites. Tenderness was prominent in 91% and swelling in 44%. Polyarticular presentation was found in 47%. In most cases (76.4%), the articular symptom was short-lasting. C-reactive protein was likely to be positive in active Behcet disease. HLA B51 was positive in 46%.


Conclusions

In Behcet disease, various manifestations can be found. The arthritic manifestation seems quite common, it may present as seronegative rheumatoid arthritis. Otherwise, it may present as palindromic rheumatism.

Keywords: Behcet, Arthritis, Seronegative, Rheumatoid
Keimyung Author(s)(Kor)
박재호
Publisher
School of Medicine
Citation
Jae-Ho Park. (1999). Clinical Analysis of Behcet Disease : Arthritic Manifestations in Behcet Disease may present as Seronegative Rheumatoid Arthritis or Palindromic Rheumatism. Korean Journal of Internal Medicine, 14(1), 66–72. doi: 10.3904/kjim.1999.14.1.66
Type
Article
ISSN
1226-3303
DOI
10.3904/kjim.1999.14.1.66
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34566
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.