Vasculitis & polymyalgia rheumatica

Evaluation of common femoral vein thickness as a diagnostic tool for Behçet's disease in a non-endemic area

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

In this study, CFVT measurement was not shown to be a reliable diagnostic test for BD. CFVT was increased in BD patients presenting vascular involvement and correlated with the number of previous events.

Study context

Population
Brazilian patients with Behçet's disease (BD) (non-endemic area) and controls
Participants
100 vs 100
Exposure
BD patients vs controls
  • BDn = 100
  • Controlsn = 100reference
Outcome
CFVT measured by Doppler US as a diagnostic tool for BD
Methodological detailsdiagnostic evaluation by Doppler US
  • Diagnostic evaluation by Doppler US

Main finding

As reported in the abstract

Right CFVT, median (range as printed)
GroupValueAUC (right common femoral vein thickness (CFVT), 0.575mm cut-off)Sensitivity (right CFVT)Specificity (right CFVT)AUC (left CFVT, 0.575mm cut-off)Sensitivity (left CFVT)Specificity (left CFVT)
BD0.600 (interval 0.500–0.700) mm0.60252%64%0.61543%77%
Controls0.525 (interval 0.450–0.637) mm

Value

BD0.600 (interval 0.500–0.700) mm
Controls0.525 (interval 0.450–0.637) mm

AUC (right common femoral vein thickness (CFVT), 0.575mm cut-off)

BD0.602
Controls— not stated in the abstract

Sensitivity (right CFVT)

BD52%
Controls— not stated in the abstract

Specificity (right CFVT)

BD64%
Controls— not stated in the abstract

AUC (left CFVT, 0.575mm cut-off)

BD0.615
Controls— not stated in the abstract

Sensitivity (left CFVT)

BD43%
Controls— not stated in the abstract

Specificity (left CFVT)

BD77%
Controls— not stated in the abstract
  • BD vs Controls: P = 0.012 — right CFVT higher in BD

Observational data: associations, not effects.

Further findings

Left CFVT · left CFVT higher in BD

P = 0.004

Association of vascular involvement and previous DVT with increased CFVT

Vascular involvement of BD and previous DVT associated with increased CFVT
P < 0.05

Correlation of number of vascular events with CFVT

Right CFVT, Rho = 0.475
P = 0.030
Left CFVT, Rho = 0.429
P = 0.052

Great saphenous vein (GSV) and small saphenous vein (SSV) diameters in both legs

No significant differences between BD and controls
P > 0.05

Original publication

Evaluation of common femoral vein thickness as a diagnostic tool for Behçet's disease in a non-endemic area. Clin Exp Rheumatol. Published 23 November 2023. doi:10.55563/clinexprheumatol/a56qqi

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