Vasculitis & polymyalgia rheumatica

Venous ulcers in Behçet syndrome

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

Leg ulcers are challenging complications of DVT in BS and represent an unmet medical need.

Study context

Population
Behçet's syndrome (BS) patients with stasis ulcers among patients with vascular involvement, multidisciplinary centre, January 2021–July 2022of 310 with vascular involvement
Participants
63 patients
Outcome
Clinical and histopathological characteristics, treatment modalities and outcomes of stasis ulcers
Methodological detailssingle multidisciplinary centre
  • Single multidisciplinary centre

Main finding

As reported in the abstract

Stasis ulcer characteristics and outcomes
Active ulcers at evaluation
35 (56 %)
Ulcers healed imminently
44 %
Median healing time
6 months
Median time from vascular onset to ulcer
3 years
Total ulcers
202
Median ulcer size
3 cm
Localised in gaiter region
72 %
Histopathology favouring stasis dermatitis
67 % (14/21)
Ulcers unhealed despite intensive therapy
17 %
Recurrence rate
73 %
Median follow-up
16.8 years

Observational data: associations, not effects.

Further findings

Treatments received

%

Biological DMARDs
75
Non-biological DMARDs
97
Steroids
94

Original publication

Venous ulcers in Behçet syndrome. Semin Arthritis Rheum. Published 28 January 2025. doi:10.1016/j.semarthrit.2025.152643

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