Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management

Behçet’s disease is a systemic vasculitis that affects multiple organs. The most common manifestations are oral and genital ulcerations and recurrent uveitis. Uveitis can be an initial symptom in 10–20% of cases and leads to blindness in 16–25% of patients. The management of this disease is evolving...

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Autores principales: Hanna Zając, Anna Turno-Kręcicka
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:b0798c040b5b45b29cafcb5f28bb85182021-11-11T17:47:11ZOcular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management10.3390/jcm102151742077-0383https://doaj.org/article/b0798c040b5b45b29cafcb5f28bb85182021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5174https://doaj.org/toc/2077-0383Behçet’s disease is a systemic vasculitis that affects multiple organs. The most common manifestations are oral and genital ulcerations and recurrent uveitis. Uveitis can be an initial symptom in 10–20% of cases and leads to blindness in 16–25% of patients. The management of this disease is evolving due to the clinical phenotypes recently described in the literature and increasing focus on the detection of subclinical inflammation to enable correct therapeutic decisions. The first line treatment is azathioprine, followed by various immunosuppressive and biological agents as alternatives in severe or refractory cases. This review summarizes scientific articles about the etiology of, diagnostic tools for and treatment of the ocular manifestations of Behçet’s disease available in the PubMed database from 1 January 2016 to 1 May 2021. A multidisciplinary approach is necessary to effectively prevent permanent damage and thus improve the life quality of the patients. Therefore, it is crucial to raise awareness of the common clusters of symptoms, use of modern imaging methods, such as ocular computed tomography and fluorescein angiography, and novelty treatment algorithms to enable early diagnosis and appropriate management.Hanna ZającAnna Turno-KręcickaMDPI AGarticleBehçet’s diseaseocular Behçetuveitismanagement of Behçet’s diseaseMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5174, p 5174 (2021)
institution DOAJ
collection DOAJ
language EN
topic Behçet’s disease
ocular Behçet
uveitis
management of Behçet’s disease
Medicine
R
spellingShingle Behçet’s disease
ocular Behçet
uveitis
management of Behçet’s disease
Medicine
R
Hanna Zając
Anna Turno-Kręcicka
Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
description Behçet’s disease is a systemic vasculitis that affects multiple organs. The most common manifestations are oral and genital ulcerations and recurrent uveitis. Uveitis can be an initial symptom in 10–20% of cases and leads to blindness in 16–25% of patients. The management of this disease is evolving due to the clinical phenotypes recently described in the literature and increasing focus on the detection of subclinical inflammation to enable correct therapeutic decisions. The first line treatment is azathioprine, followed by various immunosuppressive and biological agents as alternatives in severe or refractory cases. This review summarizes scientific articles about the etiology of, diagnostic tools for and treatment of the ocular manifestations of Behçet’s disease available in the PubMed database from 1 January 2016 to 1 May 2021. A multidisciplinary approach is necessary to effectively prevent permanent damage and thus improve the life quality of the patients. Therefore, it is crucial to raise awareness of the common clusters of symptoms, use of modern imaging methods, such as ocular computed tomography and fluorescein angiography, and novelty treatment algorithms to enable early diagnosis and appropriate management.
format article
author Hanna Zając
Anna Turno-Kręcicka
author_facet Hanna Zając
Anna Turno-Kręcicka
author_sort Hanna Zając
title Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
title_short Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
title_full Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
title_fullStr Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
title_full_unstemmed Ocular Manifestations of Behçet’s Disease: An Update on Diagnostic Challenges and Disease Management
title_sort ocular manifestations of behçet’s disease: an update on diagnostic challenges and disease management
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b0798c040b5b45b29cafcb5f28bb8518
work_keys_str_mv AT hannazajac ocularmanifestationsofbehcetsdiseaseanupdateondiagnosticchallengesanddiseasemanagement
AT annaturnokrecicka ocularmanifestationsofbehcetsdiseaseanupdateondiagnosticchallengesanddiseasemanagement
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