Pediatric rheumatology

A new tool supporting the diagnosis of childhood-onset Behçet’s disease: venous wall thickness

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Increased VWT was present not only in BD patients with vascular involvement but also in those without.

Study context

Population
Paediatric patients classified with Behçet's disease (BD) according to the 2015 international paediatric BD criteria in a single centre, and healthy age-matched controls35 patients · 27 controls
Participants
13 / 22 / 27
Exposure
Childhood-onset definite and incomplete BD vs healthy age-matched controls
  • Definite BDn = 13
  • Incomplete BDn = 22
  • Healthy controlsn = 27reference
Outcome
Lower extremity VWT (intima-media thickness by US of common femoral vein (CFV), femoral vein (FV), vena saphena magna, vena saphena parva and PV)
Methodological detailsprospective, age-matched healthy controls
  • Prospective
  • Age-matched healthy controls

Main finding

As reported in the abstract

Median VWT, all lower extremity veins on both sides
  • Median venous wall thickness (VWT) of both definite and incomplete BD significantly higher than controls in all veins on both sides

Observational data: associations, not effects.

Further findings

Diagnostic performance of best VWT cut-off values, all lower extremity veins

Sensitivity
between 63% and 86%
Specificity
between 71% and 100%

Original publication

A new tool supporting the diagnosis of childhood-onset Behçet’s disease: venous wall thickness. Rheumatology (Oxford). Published 28 May 2022. doi:10.1093/rheumatology/keac314

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