Pediatric rheumatology

Clinical course of paediatric-onset Behçet’s disease in young adulthood

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Our results showed that nearly one-third of paediatric BD patients have a new major organ involvement or a relapse in adulthood.

Study context

Population
Patients diagnosed with Behçet's disease (BD) before the age of 18, five tertiary clinics; follow-up <6 months excluded68 with adulthood follow-up
Participants
93 patients
Outcome
Clinical course of paediatric-onset BD in young adulthood (new major organ involvement or relapse in adulthood)
Methodological detailsmulticentre (five tertiary clinics)
  • Multicentre (five tertiary clinics)

Main finding

As reported in the abstract

New major organ involvement or relapse during adulthood follow-up (of 68 with adult data)

New major organ involvement in adulthood

18

26.5%

Relapse in adulthood

9

13.2%

Observational data: associations, not effects.

Further findings

Major organ involvement during paediatric period

Major organ involvement (overall)
49 (52.5%)
Eye involvement (most common)
29%
Median age at diagnosis, years
15 (13-17)

Patients with only mucocutaneous manifestations in paediatric period (n=40): new major organ involvement in adulthood

New major organ involvement
15
Mean time after diagnosis, years
10.1 (s.d.: 7.9)
  • 53.3% were male

Patients with paediatric major organ involvement (n=28, 41.1%): new major organ involvement and/or relapse in adulthood

New major organ involvement and/or relapse
12 (42.8%)

Original publication

Clinical course of paediatric-onset Behçet’s disease in young adulthood. Rheumatology (Oxford). Published 13 November 2024. doi:10.1093/rheumatology/keae624

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