Vasculitis & polymyalgia rheumatica

Behçet's disease beyond the criteria: insights from a tertiary centre in Turkey

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

According to various classification criteria, 15-40% of patients with BD do not meet established classification criteria at any point during follow-up, yet significant organ involvement remains prevalent.

Study context

Population
Adults with clinically diagnosed Behçet's disease (BD), Hacettepe University Vasculitis Research Centre database, Turkey49.8% males
Participants
804 adults
Exposure
Fulfilment of International Study Group (ISG) vs International Criteria for Behçet's Disease (ICBD) classification criteria in clinically diagnosed BD
Outcome
Fulfilment of ISG and ICBD criteria
Follow-up
At diagnosis and during
Methodological detailssingle-centre, tertiary centre, Physician's clinical judgment as gold standard for diagnosis, Paediatric cases and incomplete clinical data excluded
  • Single-centre
  • Tertiary centre
  • Physician's clinical judgment as gold standard for diagnosis
  • Paediatric cases and incomplete clinical data excluded

Main finding

As reported in the abstract

Patients fulfilling classification criteria · at diagnosis

Observational data: associations, not effects.

Further findings

Criteria fulfilment during follow-up — ICBD
84.7%
Significant organ involvement (ocular, vascular or neurological) in patients not meeting the criteria — ICBD
30.9%
Use of ≥1 immunosuppressive agent in patients not meeting the criteria — ICBD
38.2%
  • Criteria fulfilment during follow-up: ISG 59.0%
  • Significant organ involvement (ocular, vascular or neurological) in patients not meeting the criteria: ISG 47.9%
  • Use of ≥1 immunosuppressive agent in patients not meeting the criteria: ISG 48.5%

Original publication

Behçet's disease beyond the criteria: insights from a tertiary centre in Turkey. Clin Exp Rheumatol. Published 9 June 2025. doi:10.55563/clinexprheumatol/h8mxc6

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