Behcet's disease

Behcet Disease - Causes, Symptoms, Diagnosis, Treatment, Pathology (Health And Medical Video June 2018).

Behcet's disease - a rare disease that is a change in mucosal ulceration of the mouth, skin and genitals, which are often accompanied by additional vascular lesions, eyes, joints and internal organs.

Behcet's disease previously seen as a manifestation of syphilis, but in the early thirties of the last century Greek physician Adamantiad presented a description of the disease, and in 1937 a Turkish doctor Behcet found his three classic symptoms of diseases considered and proposed an independent unit.

The risk group includes men aged 30-40 who live in Japan, the Middle East and the Mediterranean. In Ukraine, Behcet's syndrome is extremely rare: in three out of 100,000 people

In children, Behcet's disease is observed only in isolated cases (aged 7 to 13 years).

Causes and symptoms

The causes of Behcet's disease have not yet been identified. Most likely, any bacterial or viral stimuli trigger the disease, and then, if a genetic predisposition, autoimmune mechanism takes effect.

Behcet disease symptoms tend to disappear, then re-occur, sometimes due to long periods of time (months or even years).

The following are the most common symptoms of the disease:

  • Wounds in the cavity of the mouth (can be quite painful and cause scarring);
  • Appearance of genital ulcers (in women - inside the vagina or in the vulva, in men - in the scrotum or in the penis);
  • Inflammation of the eye (or uveitis), which is expressed in the form of reddening of eyes, lacrimation, sensitivity to light irritants;
  • Painful inflammation of the joints (arthritis);
  • Damage to the skin in the form of redness, ulcers and swollen veins (most often in the area of ​​the legs and upper body).

Secondary symptoms of Behcet's disease, which are manifested in some cases:

  • Fatigue, fatigue (especially during periods of exacerbation);
  • Strong expansion of blood vessels;
  • Thrombosis and inflammation of the veins;
  • Heart disease (for example, myocarditis - inflammation of the heart muscle);
  • Deterioration of the central nervous system, manifested in the form of a seizure, headaches, problems with the gastrointestinal tract and digestion, etc.

Diagnosis

Diagnosis of Behcet's disease is most often produced in the clinical picture, since at the moment there are no clear laboratory benchmarks that can uniquely identify symptoms.

The main difficulty lies in the fact that:

  • The symptoms are similar to the many symptoms of other diseases;
  • The disease often manifests itself slowly or wavelikely;
  • At present, no specific methods are developed that can clearly confirm the presence of this particular disease.

As a rule, a number of tests are assigned, the purpose of which is to exclude diseases with similar symptoms. Among other things, they produce a skin test. A thin needle puncture is done in the skin, and it is believed that if there is inflammation at the site of a puncture, then the disease of Behceth is indirectly confirmed.

However, the complexity is that in many patients diagnosed with "Behcet's disease" there is no similar reaction to the injection.

According to the international diagnostic criteria for Behcet's syndrome, developed in 1990, the diagnosis is considered to be accurate if, in addition to ulcerative stomatitis, at least two of the symptoms are listed:

  • Defeat of the eye and iris;
  • Presence of genital ulcers;
  • Various skin lesions;
  • Positive pater test.

As a rule, a patient during the diagnosis passes a number of specialists: rheumatologist, dermatovenereologist, dentist, ophthalmologist, neuropathologist and nephrologist.

Prevention of Behcet's disease

There are no methods for the prevention of Behcet's disease, since neither the causes of the disease nor the mechanism of its occurrence have been ascertained. According to the general rule, it is considered that at a young age Behcet's disease proceeds more difficult than in a more mature.

The three main indicators for hospitalization in Behcet's disease are:

  • Establishing an accurate diagnosis and selection of treatment;
  • Transitions of the disease into the exacerbation phase (on average, as a rule, there are 4-5 exacerbations per year);
  • The development of complications (one of the most unpleasant - uveitis (inflammation of the eye), which can lead to reduced or even complete loss of vision).

Treatment of Behcet's disease

At the moment, no specific methods have been developed for the treatment of Behcet's disease, so the entire process of treatment is focused on preventing or reducing symptoms. Treatment of Behcet's disease consists of:

  • The use of medicinal products;
  • Moderate exercise (mainly to maintain mobility and flexibility of the joints);
  • Rest.

Means for external use are various medical ointments and lotions that are applied to ulcers, help to reduce pain and remove possible inflammation. Also, special mouthwashes are used.

Oral medicines are also often used to reduce inflammation and pain. Simultaneously, immunosuppressants are recommended to reduce the hyperactivity of the immune system.

However, it should be noted that in order to avoid various side effects, the administration of any drugs should be strictly controlled by the doctor.

Behcet's disease

Category Of Medical Issues: Diseases

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