Survey and Validation of the Criteria for Behcet's Disease Recently Used in Korea: a Suggestion for Modification of the International Study Group Criteria

Chang, Hyun Kyu; Kim, Seung Yong

doi:10.3346/jkms.2003.18.1.88

Cited by 27 publications

(22 citation statements)

References 21 publications

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“…3,17,32 Also, oral ulcers in Behc¸et disease may not repeat itself more than 3 times in a year as required by the ISG criteria. 8,9 There may also be ethnic differences of low positive rate of pathergy test in Korea, the United Kingdom, and the United States. The echocardiographic and pathologic features, although they are not included in the ISG criteria currently, seem to be helpful for the timely diagnosis of cardiac Behc¸et disease.…”

Section: Discussionmentioning

confidence: 97%

Cardiac Behçet Disease Presenting as Aortic Valvulitis/Aortitis or Right Heart Inflammatory Mass: A Clinicopathologic Study of 12 Cases

Lee¹,

Park²,

Hwang³

et al. 2008

American Journal of Surgical Pathology

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Behçet disease is an inflammatory disorder of unknown etiology showing diverse clinical presentations. Cardiac involvement is a critical problem that requires a timely diagnosis and management. However, clinicopathologic features have not been characterized clearly. Here, we present clinicopathologic characteristics of this uncommon disease. Patients included 8 males and 4 females, ranging from 24 to 52 years old. They were presented with abrupt heart failure and were mostly diagnosed as having cardiac Behçet disease later in the course. Upon echocardiography, 8 patients showed severe aortic regurgitation with redundant prolapsing aortic cusps and 4 patients showed irregular mass lesions in the right ventricular cavity. No one had both lesions. The aortic root was also involved with aortic valvulitis, showing severe mixed acute and chronic inflammation of various stages. There were frequent microabscess and extensive endothelial loss with fibrinous deposit. The right heart lesions showed similar histopathologic features. Four patients who initially underwent simple aortic valve replacement developed serious postoperative complications requiring reoperations. No serious complications developed after the treatment was changed to a replacement of aortic root with extensive debridement and concomitant immunosuppressive therapy. Cardiac Behçet disease is presented as aortic valvulitis/aortitis or inflammatory mass lesion. Characteristic echocardiographic and pathologic findings seem to be helpful for the timely diagnosis of this critical disease.

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Section: Discussionmentioning

confidence: 97%

Cardiac Behçet Disease Presenting as Aortic Valvulitis/Aortitis or Right Heart Inflammatory Mass: A Clinicopathologic Study of 12 Cases

Lee¹,

Park²,

Hwang³

et al. 2008

American Journal of Surgical Pathology

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“…In 2002 and 2003, Korea presented its own criteria [19,20]. Korean criteria are based on system point, like the Iran criteria.…”

Section: Validation Studies Leading To New Criteriamentioning

confidence: 99%

Classification and Diagnosis Criteria for Behçet’s Disease

et al. 2013

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“…The sensitivity, specificity and accuracy for both ISGBD criteria and ITR-ICBD were determined. [8] Sensitivity, specificity, accuracy and receiver operator characteristic (ROC) curve were calculated for ISGBD and ITR-ICBD criteria. ITR-ICBD criteria exhibited higher sensitivity, specificity and accuracy than ISGBD criteria.…”

Section: Methodsmentioning

confidence: 99%

Analysis of diagnostic criteria in adamantiades-behçet disease: A retrospective study

et al. 2013

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Adamantiades-Behçet's disease (ABD) is a chronic-relapsing, inflammatory and multi-systemic disease. Any organ or system may be involved: ABD presents a great variety of cutaneous and mucosal lesions, ocular manifestations, central and peripheral nervous system abnormalities, joint as well as gastrointestinal involvement. Since clear pathognomonic clinical features and laboratory tests are lacking, the diagnosis of ABD mainly relies on the characteristic clinical features. Several sets of diagnostic criteria have been used. The International Study Group for Behçet Disease (ISGBD) in 1990 formulated a set of criteria to warrant uniformity of both diagnosis and classification. Therefore, in 2006, a new set was proposed by the International Team for the Revision of the International Criteria for Behçet's Disease (ITR-ICBD) not only to uniform the previous criteria but also to establish best accuracy, along with an optimum sensivity and specificity. The aims of this study are both to analyze the clinical features of ABD patients and to validate the ISGBD and ITR-ICDB criteria for the diagnosis of ABD in our cohort.

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Survey and Validation of the Criteria for Behcet's Disease Recently Used in Korea: a Suggestion for Modification of the International Study Group Criteria

Cited by 27 publications

References 21 publications

Cardiac Behçet Disease Presenting as Aortic Valvulitis/Aortitis or Right Heart Inflammatory Mass: A Clinicopathologic Study of 12 Cases

Cardiac Behçet Disease Presenting as Aortic Valvulitis/Aortitis or Right Heart Inflammatory Mass: A Clinicopathologic Study of 12 Cases

Classification and Diagnosis Criteria for Behçet’s Disease

Analysis of diagnostic criteria in adamantiades-behçet disease: A retrospective study

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