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Concept: Hulusi Behçet

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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.

Concepts: Immune system, Medicine, Death, Human leukocyte antigen, Hangul, Behçet's disease, Hulusi Behçet, HLA-B51

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Behcet’s Disease (BD) is characterized by a relapsing-remitting course, with symptoms of varying severity across almost all organ systems. There is a diverse array of therapeutic options with no universally accepted treatment regime, and it is thus important that clinical practice is evidence-based. We reviewed all currently available literature describing management of BD, and investigated whether evidence-based practice is possible for all disease manifestations, and assessed the range of therapeutic options tested.

Concepts: Medicine, Behçet's disease, Hulusi Behçet

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Endovascular approach with parallel graft technique can be a valid solution in emergency setting for the treatment of thoraco-abdominal aorta involvement in Behcet’s disease.

Concepts: Aortic dissection, Aorta, Behçet's disease, Traumatic aortic rupture, Hulusi Behçet

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To investigate the expression and function of IRAK1 and IRAK4 involved in the development of Behcet’s disease.

Concepts: Gene expression, Function, Cellular differentiation, Behçet's disease, Hulusi Behçet

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Behcet’s disease (BD) is a polysymptomatic and recurrent systemic vasculitis with a chronic course and unknown cause. The pathogenesis of BD has not been fully elucidated; however, BD has been considered to be a typical Th1-mediated inflammatory disease, characterized by elevated levels of Th1 cytokines such as IFN-γ, IL-2, and TNF-α. Recently, some studies reported that Th17-associated cytokines were increased in BD; thus, Th17 cells and the IL17/IL23 pathway may play important roles in the pathogenesis of BD. In this chapter, we focus on the pathogenic role of Th17 cells in BD.

Concepts: Immune system, Inflammation, Asthma, Rheumatoid arthritis, Vasculitis, Role, Behçet's disease, Hulusi Behçet

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Behcet’s disease (BD) is a chronic immune-mediated, inflammatory disorder which may affect a number of different systems (oral and genital mucosa, eyes, skin, vascular district, joints, gastrointestinal tract and nervous system). Neurological manifestations are present in 5-10%, and gastrointestinal tract involvement in 10-15% of cases. The simultaneous involvement of two systems, neurological and gastrointestinal tract, is very rare and represents the aim of our case report.

Concepts: Central nervous system, Psychology, Medicine, Brain, Digestive system, Gastroenterology, Behçet's disease, Hulusi Behçet

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Behcet’s disease is a heterogeneous, multisystem, inflammatory disorder of unknown etiology. The classic triad of oral and genital ulcerations in conjunction with uveitis was originally described by the Turkish dermatologist Hulusi Behcet in 1937, but associated symptoms of the cardiovascular, central nervous, pulmonary, and gastrointestinal systems were later identified. In fact, Behcet’s disease with neurological involvement (neuro-Behcet’s disease) is not uncommon. Patients with neuro-Behcet’s disease typically exhibit a diverse array of symptoms, most commonly in the brainstem and diencephalic regions. Herein, we report an unusual case of neuro-Behcet’s disease in a patient who presented with a solitary cerebellar hemorrhage.

Concepts: Central nervous system, Medicine, Brain, Blood, Medical terms, Hospital, Behçet's disease, Hulusi Behçet

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To assess the safety and efficacy of intravitreal infliximab (1 mg/0.05 mL) in patients with refractory posterior uveitis in Behcet’s disease.

Concepts: Epidemiology, Clinical trial, Effectiveness, Infliximab, Uveitis, Behçet's disease, Hulusi Behçet

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Behçet’s disease (BD) involves oxidative stress (OS) aggression and imbalanced oxidant/antioxidant status. Owing to its antioxidant property, allicin is proposed for treating BD. In this study, we aimed to investigate the efficacy and safety of allicin on patients with BD with mucocutaneous involvement. Twenty patients with active BD were treated with allicin for 12 weeks and followed up to 16 weeks. A clinical manifestations index and scoring system was the primary technique for efficacy evaluation at baseline and Week 4, 12, 16. The secondary efficacy variables were OS-related biomarkers determined at first and final visit. Side effects were assessed at each visit. By the end of study, 18 patients completed the trail. Allicin was effective in decreasing ulcer and cutaneous parameters (p < .05). Especially, the greatest reduction of mucocutaneous scores emerged from baseline after the first four-week treatment (p < .05). Meanwhile, allicin remarkably ameliorated OS-related parameters. Besides, some side effects were observed on allicin, these adverse reactions, however, disappeared upon cessation of drugs. In conclusion, allicin is a safe and effective treatment for BD, which may be associated with its inhibiting OS and regulating oxidant/antioxidant status balance.

Concepts: Antioxidant, Oxidative stress, Effectiveness, Oxidative phosphorylation, Efficacy, Vitamin C, Behçet's disease, Hulusi Behçet

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To measure plasma levels of chitinase-3-like 1 protein and its association with malondialdehyde in Behcet’s disease patients.

Concepts: Blood plasma, Behçet's disease, Malondialdehyde, Hulusi Behçet, Behcet's Disease of the Optic Nerve