Vasculitis & polymyalgia rheumatica

How to recognise a Behçet's ulcer from other types of oral ulceration? Defining Behçet's ulceration by an International Delphi Consultation

Clin Exp RheumatolPublished Delphi consensus study

Authors' conclusion

New clinical guidance for Health Care Professionals (HCP) on how to recognise a BD ulcer has been proposed.

Study context

Population
Clinical images of oral ulceration in Behçet's disease (BD), recurrent aphthous stomatitis, inflammatory bowel disease and mucous membrane pemphigoid40 clinical images
Outcome
Clinical characteristics of oral ulceration in BD allowing differentiation from other causes of oral ulceration (OU)
Methodological detailsinternational, four rounds, clinical images, Round 3: 10 clinical descriptors that may define BD ulcers ranked by importance on each image
  • International
  • Four rounds
  • Clinical images
  • Round 3: 10 clinical descriptors that may define BD ulcers ranked by importance on each image

Recommendations

As reported in the abstract

  • Clear differentiation between BD, inflammatory bowel disease (IBD) and mucous membrane pemphigoid (MMP) ulcers by phenotype through clinical images only
  • No differentiation between recurrent aphthous stomatitis (RAS) and BD ulcers
  • Most important clinical descriptors defining BD ulcers agreed

Original publication

How to recognise a Behçet's ulcer from other types of oral ulceration? Defining Behçet's ulceration by an International Delphi Consultation. Clin Exp Rheumatol. Published 30 October 2023. doi:10.55563/clinexprheumatol/joeacu

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