Registries in Rheumatological and Musculoskeletal Conditions. Paediatric Behcet'S Disease: An International Cohort Study of 110 Patients. One-Year Follow-Up Data
Tarih
2011Yazar
Kone-Paut, Isabelle
Darce-Bello, Martha
Shahram, Farahd
Gattorno, Marco
Cimaz, Rolando
Ozen, Seza
Cantarini, Luca
Tugal-Tutktun, Ilknur
Assaad-Khalil, Samir
Hofer, Michael
Kuemmerle-Deschner, Jasmin
Benamour, Saida
Al Mayouf, Souleymane
Pajot, Christine
Anton, Jordi
Faye, Albert
Bono, Wafa
Nielsen, Susan
Letierce, Alexia
Tran, Tu-Anh
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Methods. International experts have defined the inclusion criteria as follows: recurrent oral aphthosis (ROA) plus one of following-genital ulceration, erythema nodosum, folliculitis, pustulous/acneiform lesions, positive pathergy test, uveitis, venous/arterial thrombosis and family history of BD. Onset of disease is < 16 years, disease duration is 3 years, future follow-up duration is epsilon 4 years and informed consent is obtained. The expert committee has classified the included patients into: definite paediatric BD (PED-BD), probable PED-BD and no PED-BD. Statistical analysis is performed to compare the three groups of patients. Centres document their patients into a single database. Results. At January 2010, 110 patients (56 males/54 females) have been included. Mean age at first symptom: 8.1 years (median 8.2 years). At inclusion, 38% had only one symptom associated with ROA, 31% had two and 31% had three or more symptoms. A total of 106 first evaluations have been done. Seventeen patients underwent the first-year evaluation, and 36 had no new symptoms, 12 had one and 9 had two. Experts have examined 48 files and classified 30 as definite and 18 as probable. Twenty-six patients classified as definite fulfilled the International Study Group criteria. Seventeen patients classified as probable did not meet the international criteria. Conclusion. The expert committee has classified the majority of patients in the BD group although they presented with few symptoms independently of BD classification criteria.