CLINICAL ANALYSIS OF 40 CASES OF CHILDHOOD-ONSET BEHCET-DISEASE

被引:64
作者
KIM, DK [1 ]
CHANG, SN [1 ]
BANG, D [1 ]
LEE, ES [1 ]
LEE, S [1 ]
机构
[1] YONSEI UNIV,COLL MED,DEPT DERMATOL,CPO BOX 8044,SEOUL,SOUTH KOREA
关键词
D O I
10.1111/j.1525-1470.1994.tb00559.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Behcet's disease is a chronic, relapsing, idiopathic, multisystem condition characterized by mucocutaneous, ocular, gastrointestinal, articular, vascular, urogenital, and neurologic involvement. Usually the onset occurs between 20 and 30 years of age; it is very uncommon in children. We analyzed 40 cases of childhood-onset Behcet's disease. The male:female ratio was 0.67. The most frequent major sign was oral ulceration, appearing in all patients. Other major signs were genital ulcers (33 patients), skin lesions (29), and ocular lesions (11). The average time interval between the initial oral ulceration and the second major manifestation was 8.8 years. After the second major manifestation, the third and fourth features rapidly developed within one to two years. The most frequent minor sign was arthritis, occurring in 11 of 40 patients. Intestinal, neurologic, and renal involvement was also present. From our results, we concluded that oral ulceration, which is the most common initial manifestation, should not be neglected in children, since it may signal Behcet's disease.
引用
收藏
页码:95 / 101
页数:7
相关论文
共 47 条
[1]  
Shimizu T, Ehrlich G, Inaba G, Et al., Behçet's disease, Semin Arthritis Rheum, 8, 4, pp. 223-260, (1979)
[2]  
O'duffy JD., Behçet's disease, Textbook of rheumatology, pp. 1175-1178, (1985)
[3]  
Skin hypersensitivity to streptococcal antigens Behçet's disease, J Rheumatol, 16, pp. 506-511, (1989)
[4]  
Hussain L, Ward R, Barnes CG, Et al., Antibodies to herpes simplex virus in polyethylene glycol precipitable complexes in sera from patients with Behçet's disease and controls, Recent adavances in Behçet's disease
[5]  
proceedings of the 4th international conference on Behçet's disease, pp. 73-77, (1986)
[6]  
Studd M, McCance DJ, Lehner T., Detection of HSV‐1 DNA in patients with Behçet's syndrome and in patients wit recurrent oral ulcers by the polymerase chain reaction, J Med Microbiol, 34, pp. 39-43, (1991)
[7]  
Berman L, Trappler B, Jenkins T., Behçet's syndrome: a family study and the elucidation of a genetic role, Ann Rheum Dis, 38, pp. 118-121, (1979)
[8]  
Lee S, Kim DH, Bang D, Et al., Immunological aspects of the four types of Behçet's syndrome, Recent advances in Behçet's disease
[9]  
proceedings of the 4th international conference on Behçet's disease, pp. 67-71, (1986)
[10]  
Abnormalities of T‐cell subsets in Behçet's syndrome, Arch Dermatol, 119, pp. 307-310, (1983)