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J Dent Res 84(3):209-222, 2005
© 2005 International and American Associations for Dental Research


REVIEWS
CRITICAL REVIEWS IN ORAL BIOLOGY & MEDICINE

Behçet’s Disease: A Review

L.M. Al-Otaibi, S.R. Porter*, and T.W.J. Poate

Oral Medicine, Division of Maxillofacial Diagnostic, Medical & Surgical Sciences, Eastman Dental Institute for Oral Health Care Sciences, UCL, University of London, 256 Gray’s Inn Road, London WC1X 8LD, UK;

* corresponding author, s.porter{at}eastman.ucl.ac.uk

Behçet’s disease (BD) is a multi-system inflammatory disorder dominated clinically by recurrent oral and genital ulceration, uveitis, and erythema nodosum. Behçet’s disease runs a chronic course, with unpredictable exacerbations and remissions whose frequency and severity may diminish with time. Behçet’s disease typically arises in young adults, although childhood-onset BD has also been reported. The disease can affect both genders and has a worldwide distribution, although it is more prevalent in countries of the ancient Silk Route. The cause of BD remains unknown, although an autoimmune reaction triggered by an infectious agent in a genetically predisposed individual has been suggested. The treatment of BD is symptomatic and empirical, but generally specific to the clinical features of each patient. The majority of affected individuals do not have life-threatening disease, although mortality can be associated with vascular-thrombotic and neurological disease.

KEY WORDS: Behçet’s • disease • genital • ocular • oral




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