BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE

The paper presents the clinical characteristics of Behcet's disease (BD) in Russian children, generally accepted criteria for BD, and diagnosis statement. The investigation is based on an observation of 17 children who met the international criteria for BD and were treated at the V.A. Nasonova...

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Main Authors: N. N. Kuzmina, E. S. Fedorov, S. O. Salugina, Z. S. Alekberova
Format: Article
Language:Russian
Published: IMA PRESS LLC 2015-09-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/2095
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author N. N. Kuzmina
E. S. Fedorov
S. O. Salugina
Z. S. Alekberova
author_facet N. N. Kuzmina
E. S. Fedorov
S. O. Salugina
Z. S. Alekberova
author_sort N. N. Kuzmina
collection DOAJ
description The paper presents the clinical characteristics of Behcet's disease (BD) in Russian children, generally accepted criteria for BD, and diagnosis statement. The investigation is based on an observation of 17 children who met the international criteria for BD and were treated at the V.A. Nasonova Research Institute of Rheumatology in 2004 to 2013. One-third of children had a compromised family history; about 30% of the patients were ethnic Russian. The age at BD onset ranged from infancy to 16 years. The interval between disease onset and diagnosis was 1 to 10 years. The clinical symptoms at onset represented mostly frequently aphthous stomatitis and its accompanying fever and much less frequently aphthae of the genitalia. Furtherthe pathological process involved other organs and systems. In advanced stage of disease, there was already a clinical syndrome encompassing aphthous stomatitis, a genital ulcerative process, and lesions of the eye, skin, gastrointestinal tract, and less often central nervous system. The manifestations of the disease in different combinations can be concurrent with each other, showing a mosaic pattern. Treatment of children with BD included glucocorticoids, colchicine, azathioprine, and, if clinically indicated, tumor necrosis factor-α inhibitors. Their efficacy is discussed. The pediatric aspects of BD, which are presented in this paper, are first published in Russian medical press
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1995-4492
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publisher IMA PRESS LLC
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series Научно-практическая ревматология
spelling doaj-art-e0972460619d49a5bc1db37b3b0f48372025-08-20T02:55:17ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922015-09-0153331231810.14412/1995-4484-2015-312-3181980BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCEN. N. Kuzmina0E. S. Fedorov1S. O. Salugina2Z. S. Alekberova3V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moscow 34A, Kashirskoe Shosse, Moscow 115522V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moscow 34A, Kashirskoe Shosse, Moscow 115522V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moscow 34A, Kashirskoe Shosse, Moscow 115522V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moscow 34A, Kashirskoe Shosse, Moscow 115522The paper presents the clinical characteristics of Behcet's disease (BD) in Russian children, generally accepted criteria for BD, and diagnosis statement. The investigation is based on an observation of 17 children who met the international criteria for BD and were treated at the V.A. Nasonova Research Institute of Rheumatology in 2004 to 2013. One-third of children had a compromised family history; about 30% of the patients were ethnic Russian. The age at BD onset ranged from infancy to 16 years. The interval between disease onset and diagnosis was 1 to 10 years. The clinical symptoms at onset represented mostly frequently aphthous stomatitis and its accompanying fever and much less frequently aphthae of the genitalia. Furtherthe pathological process involved other organs and systems. In advanced stage of disease, there was already a clinical syndrome encompassing aphthous stomatitis, a genital ulcerative process, and lesions of the eye, skin, gastrointestinal tract, and less often central nervous system. The manifestations of the disease in different combinations can be concurrent with each other, showing a mosaic pattern. Treatment of children with BD included glucocorticoids, colchicine, azathioprine, and, if clinically indicated, tumor necrosis factor-α inhibitors. Their efficacy is discussed. The pediatric aspects of BD, which are presented in this paper, are first published in Russian medical presshttps://rsp.mediar-press.net/rsp/article/view/2095behcet's diseasesystemic vasculitisautoinflammatory diseaseschildhood.
spellingShingle N. N. Kuzmina
E. S. Fedorov
S. O. Salugina
Z. S. Alekberova
BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
Научно-практическая ревматология
behcet's disease
systemic vasculitis
autoinflammatory diseases
childhood.
title BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
title_full BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
title_fullStr BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
title_full_unstemmed BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
title_short BEHCET'S DISEASE IN CHILDREN: RUSSIAN EXPERIENCE
title_sort behcet s disease in children russian experience
topic behcet's disease
systemic vasculitis
autoinflammatory diseases
childhood.
url https://rsp.mediar-press.net/rsp/article/view/2095
work_keys_str_mv AT nnkuzmina behcetsdiseaseinchildrenrussianexperience
AT esfedorov behcetsdiseaseinchildrenrussianexperience
AT sosalugina behcetsdiseaseinchildrenrussianexperience
AT zsalekberova behcetsdiseaseinchildrenrussianexperience