Vasculitis & polymyalgia rheumatica

Incidence and prevalence of Behçet’s disease in Oslo, Norway: a two-decade population-based analysis

Rheumatology (Oxford)Published Population-based cohort study

Authors' conclusion

BD is a rare disease in Oslo, Norway, with female predominance in Norwegian descendants, but higher prevalence overall in non-Norwegians. The observed increases in incidence and prevalence are likely due to changes in population genetics and introduction of the more sensitive ICBD criteria.

Study context

Population
Behçet's disease (BD) cases (ICD-10 M35.2) from Oslo hospital administrative databases and NOSVAR meeting International Study Group (ISG) or International Criteria for Behçet's Disease (ICBD) criteria, Oslo, Norway, 1999–202143 incidental
Participants
58 cases
Exposure
Non-Norwegian vs Norwegian ancestry; females vs males among Norwegians
Outcome
Incidence and prevalence of BD
Methodological detailsretrospective, chart-reviewed, classified by ISG criteria and ICBD
  • Retrospective
  • Chart-reviewed
  • Classified by ISG criteria and ICBD

Main finding

As reported in the abstract

Incidence of BD per 100 000 person-years
Overall incidence per 100 000 person-years
0.29 (95% CI 0.18, 0.41)
Prevalence per 100 000 inhabitants in 1999
2.36
Prevalence per 100 000 inhabitants in 2021
7.14

Observational data: associations, not effects.

Further findings

Prevalence per 100 000 inhabitants by ancestry · 2021

  • Incidence per 100 000 person-years among Norwegians, by sex: Females 0.27 per 100 000 person-years
  • Incidence per 100 000 person-years among Norwegians, by sex: Males 0.08 per 100 000 person-years

Diagnostic delay

Median diagnostic delay, years (IQR 2-12)
5

Prevalence per 100 000 inhabitants

Prevalence in 1999
2.36
Prevalence in 2021
7.14

Age

Mean age at symptom onset, years
24
Mean age at diagnosis, years
33

Trend in incidence and prevalence

Appeared to increase, but reclassification by ISG criteria adjusted the trend downward; significantly reduced when accounting for the proportion of non-Norwegians

Original publication

Incidence and prevalence of Behçet’s disease in Oslo, Norway: a two-decade population-based analysis. Rheumatology (Oxford). Published 25 April 2025. doi:10.1093/rheumatology/keaf224

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