Vasculitis & polymyalgia rheumatica

Influence of gender on Behçet's disease phenotype and irreversible organ damage: Data from the International AIDA Network Behçet's Disease Registry

Joint Bone SpinePublished Registry-based cohort study

Authors' conclusion

BD displays a more severe course among males. This subgroup develops more irreversible damage and presents more frequently ocular and vascular involvement during disease course. On the other hand, female patients are prone to experience articular involvement, headache, CNS and gastrointestinal involvement.

Study context

Population
Patients with Behçet's Disease (BD) in the International AIDA Network Registry for BDmale-to-female ratio 1.24/1
Participants
1,024 patients
Exposure
Males vs females with BD
  • Malesn = 567
  • Femalesn = 457reference
Outcome
Gender differences in BD, incl. irreversible damage (BODI)
Follow-up
Last
Methodological detailsinternational registry (AIDA Network)
  • International registry (AIDA Network)

Main finding

As reported in the abstract

BODI

Males

1.92

mean · SD 2.09

Females

1.25

mean · SD 1.87

P < 0.0001

Observational data: associations, not effects.

Further findings

OutcomeP value
Cardiovascular riskNo differences between the two groupsP = 0.617

Cumulative manifestations more frequent in males

Uveitis more frequent in males
P < 0.0001
Vascular involvement more frequent in males
P = 0.0076

Cumulative manifestations more frequent in females

Arthralgia
P < 0.0001
Arthritis
P = 0.00025
Isolated headache
P < 0.0001
Central nervous system (CNS) involvement
P = 0.040
Gastrointestinal involvement
P = 0.00046

Factors associated with major organ involvement

Male gender, OR
2.104 (P=0.001)
Current treatment with biologic agents, OR
2.257 (P=0.0003)
Origin from endemic countries, OR
2.661 (P=0.0009)
Disease duration, OR
1.002 (P=0.024)

Original publication

Influence of gender on Behçet's disease phenotype and irreversible organ damage: Data from the International AIDA Network Behçet's Disease Registry. Joint Bone Spine. Published 15 November 2024. doi:10.1016/j.jbspin.2024.105819

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