Vasculitis & polymyalgia rheumatica

Diffuse generalized venulitis as the primary pathology of Behçet's disease: A comprehensive magnetic resonance venography study

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

The results of our study suggest that the involvement of the venous system is diffuse and generalized in BD, and demonstration of venulitis might help diagnose the disease.

Study context

Population
Behçet's Disease (BD) patients fulfilling the International Study Group (ISG) criteria (mean age 39.3 ± 11.3 years; 48 [73.8%] male) and healthy controls65 BD patients · 20 controls
Participants
33 / 32 / 20
Exposure
BD patients vs healthy controls
  • Vascular BDn = 33
  • Non-vascular BDn = 32
  • Healthy controlsn = 20reference
Outcome
Vein wall thickening on MR venography (inferior vena cava (IVC), common iliac veins (CIV), EIV, IIV, common femoral veins (CFV), femoral veins (FV), greater saphenous veins (GSV))
Methodological detailsMagnetic resonance (MR) venography and ultrasonography, healthy control comparison
  • MR venography and ultrasonography
  • Healthy control comparison

Main finding

As reported in the abstract

  • BD vs Healthy controls: P < 0.05 for all vein segments

Observational data: associations, not effects.

Further findings

Perivascular findings on MR venography (contrast enhancement, enlarged lymph nodes, seminal vesicle vascularization)

Remarkably more frequent in vascular BD than non-vascular BD and healthy controls

Original publication

Diffuse generalized venulitis as the primary pathology of Behçet's disease: A comprehensive magnetic resonance venography study. Semin Arthritis Rheum. Published 9 August 2023. doi:10.1016/j.semarthrit.2023.152246

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