J Korean Orthop Assoc.  2008 Apr;43(2):220-226. 10.4055/jkoa.2008.43.2.220.

Behcet's Arthritis

Affiliations
  • 1Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea. ihyang@yumc.yonsei.ac.kr
  • 2Department of Orthopaedic Surgery, National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea.

Abstract

PURPOSE: The clinical manifestations of Behcet's arthritis are similar to those of rheumatoid arthritis, and they need to be differentiated. The objective of this study was to evaluate the past history, diagnosis, treatments and clinical findings of Behcet's arthritis.
MATERIALS AND METHODS
Among 1,602 cases with Behcet's disease, 87 cases with Behcet's arthritis were enrolled in this study between January 1990 and December 2000. A thorough review of each case was done by examining the patients' medical charts and personal interview. The clinical manifestation, the existence of morning stiffness and laboratory studies including ESR, CRP, AS, and RF were investigated. The Shimizu classification was used as diagnostic criteria.
RESULTS
There was no preponderance of gender and the most prevalent age group was in their 3rd and 4th decades. The most common involved site was the knee joint (60 of 87 cases), and multiple site involvement was common (56.0%). Clinically, symptoms such as pain, tenderness and joint swelling were common. According to the Shimizu classification, the incomplete type was the most common (67.8%). The symptoms improved after conservative treatment, but 12 cases (21.0%) recurred within one year. Arthroscopic synovectomy was performed in 2 cases, but these cases showed no improvement.
CONCLUSION
Behcet's arthritis should be differentiated from rheumatoid arthritis, and conservative treatment showed good clinical results.

Keyword

Arthritis; Behcet's disease

MeSH Terms

Arthritis
Arthritis, Rheumatoid
Humans
Joints
Knee Joint

Figure

  • Fig. 1 Radiological finding of Behçet's arthritis shows only soft tissue swelling and joint space widening to joint effusion. Articular surfaces show no specific finding.

  • Fig. 2 Histological finding of Behçet's arthritis. Lymphatic vasculitis is noted (H-E stain, ×100).


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