Vasculitis & polymyalgia rheumatica

Neutrophilic dermatosis and hidradenitis suppurativa in patients with Behçet's disease: A neutrophilic disease in the spectrum of autoinflammatory syndromes

Semin Arthritis RheumPublished Retrospective case series

Authors' conclusion

PG seems overrepresented in patients with BD. Biotherapies such as anti-TNFα, ustekinumab and tocilizumab appear to be promising to treat refractory ND or HS associated with BD.

Study context

Population
Patients with Behçet's disease (BD) and associated neutrophilic dermatosis (ND) or hidradenitis suppurativa (HS), identified among 1462 patients with BDamong 1462 BD patients
Participants
20 patients
Outcome
ND or HS associated with BD

Main finding

As reported in the abstract

Patients with ND or HS associated with BD
20 (1.4%)
HS
13
Pyoderma gangrenosum (PG)
6
SAPHO
1
PG prevalence in BD
400/100 000
HS at Hurley 1 stage
69%
Complete or partial responses in refractory ND or HS with anti-TNFα
9 cases
Complete or partial responses with ustekinumab
3 cases
Complete or partial responses with tocilizumab
1 case

Observational data: associations, not effects.

Further findings

BD involvement

Bipolar aphthosis
13
Vascular
6
Neurologic
5
Ocular
4

Treatment received

Colchicine
20
GC
12
Anti-TNFα
9

Original publication

Neutrophilic dermatosis and hidradenitis suppurativa in patients with Behçet's disease: A neutrophilic disease in the spectrum of autoinflammatory syndromes. Semin Arthritis Rheum. Published 13 May 2023. doi:10.1016/j.semarthrit.2023.152224

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