Pediatric rheumatology

Paediatric neuro-Behçet’s disease: multi-centre observational study

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

The non-parenchymal subgroup is the predominant form in children.

Study context

Population
Paediatric patients diagnosed with neuro-Behçet's disease (NBD)
Participants
75 patients
Exposure
Nonparenchymal vs Parenchymal vs Mixed
  • Nonparenchymaln = 56
  • Parenchymaln = 15
  • Mixedn = 4
Outcome
Neurologic manifestations of paediatric NBD
Methodological detailsmulticentre, observational
  • Multicentre
  • Observational

Main finding

As reported in the abstract

Neurologic manifestations at initial presentation
52 (69.3%)
Neurologic manifestations after diagnosis
23 (30.7%)
Median time to neurologic manifestations after diagnosis, months (range as printed)
14 (8-30)
Headache (most common neurological symptom)
70 (93.3%)
Headache more frequent in non-parenchymal form
P = 0.028
Paresis more frequent in parenchymal form
P = 0.034
Sensory loss more frequent in parenchymal form
P = 0.016
Mood/mental health problems more frequent in parenchymal form
P = 0.005
Parenchymal lesions on neuroimaging
19 (25.3%)
Vascular lesions on neuroimaging
55 (73.3%)

Observational data: associations, not effects.

Further findings

Treatment and outcome

AZA, the most commonly used immunosuppressor therapy
78.7%
Median follow-up, months
30 (17.5-52.5)
Significant clinical improvement during follow-up

Deaths · during follow-up

No deaths reported

Original publication

Paediatric neuro-Behçet’s disease: multi-centre observational study. Rheumatology (Oxford). Published 11 April 2026. doi:10.1093/rheumatology/keag187

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