Pediatric rheumatology

Behçet syndrome in children and adults: discovering similarities and differences by a comparative study

Rheumatology (Oxford)Published Comparative cohort study

Authors' conclusion

Remarkable differences between juvenile-onset and adult-onset BS, both in terms of gender, familiar predisposition and clinical manifestations have been observed and a different therapeutic approach in the real clinical practice of the two settings emerged.

Study context

Population
Italian patients with behçet's syndrome (BS): paediatric and adult databases, Florence
Participants
33 vs 165
Exposure
Juvenile-onset vs adult-onset BS
  • Paediatricn = 33
  • Adultn = 165reference
Outcome
Familiar predisposition for BS
Methodological detailstwo clinical databases, single-city (Florence)
  • Two clinical databases
  • Single-city (Florence)

Main finding

As reported in the abstract

Paediatric

3

events

Adult

1

events

P = 0.015

Observational data: associations, not effects.

Further findings

HLA-B51 positivity

No difference in prevalence

Meeting revised ICBD and/or ISG criteria at diagnosis

Comparable in the two cohorts

Muco-cutaneous, ocular, neurological involvement and gastrointestinal symptoms

No significant difference between cohorts

Articular manifestations

More common in paediatric cohort

Venous vascular events

More frequent in adult cohort

Treatment

Paediatric patients more frequently received no treatment or corticosteroid monotherapy
Use of traditional and biologic DMARDs significantly higher in adult cohort

Original publication

Behçet syndrome in children and adults: discovering similarities and differences by a comparative study. Rheumatology (Oxford). Published 15 June 2022. doi:10.1093/rheumatology/keac347

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