Pediatric rheumatology

Autoinflammatory syndromes mimicking Behçet's disease with gastrointestinal involvement: a retrospective analysis

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Identification of monogenic diseases and chromosomal abnormalities resembling BD underscores the imperative of precise diagnosis for tailored treatment and genetic counselling.

Study context

Population
Paediatric patients diagnosed with Behçet's disease (BD) (January 2016–December 2022) with gastrointestinal involvementof 50 paediatric BD patients
Participants
24 patients
Exposure
Genetic-positive vs genetic-negative patients
  • Genetic-positiven = 7
Outcome
Clinical characteristics and genetic findings
Methodological detailssingle-group descriptive, stratified by genetic results
  • Single-group descriptive
  • Stratified by genetic results

Main finding

As reported in the abstract

Median age of disease onset (years)
4.0
Recurrent oral ulcers
100%
Gastrointestinal symptoms
83.3%
Abdominal pain
70%
Haematochezia
16.7%
Initially met ICBD criteria
70.8%
Fulfilled new paediatric classification criteria
41.6%
Pathogenic variants among 18 patients with genetic analysis
7
Chromosomal abnormalities such as trisomy 8 syndrome
2

Observational data: associations, not effects.

Further findings

Genetic-positive vs genetic-negative comparison

Genetic-positive group: earlier disease onset, more atypical symptoms, heightened inflammatory markers and distinctive gastrointestinal lesions

Original publication

Autoinflammatory syndromes mimicking Behçet's disease with gastrointestinal involvement: a retrospective analysis. Clin Exp Rheumatol. Published 7 March 2024. doi:10.55563/clinexprheumatol/g6729b

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