Journals / Archives of Rheumatology / 2015 / Cilt: 30 - Sayı: 4

Effects of Smoking and HLA-B51 on Clinical Manifestations in Behçet's Disease: Retrospective Analysis of 209 Patients in a Turkish Population

Pages
319–325
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our findings indicate that smoking and HLA-B51 influence severity and systemic involvements of BD with a positive relationship inbetween.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to investigate the separate and cumulative effects of smoking and human leukocyte antigen (HLA)-B51 on the severityand clinical manifestations of Behçet s disease (BD).
📊
Key Findings & Data:Patients and methods: A total of 209 patients (119 males, 90 females; mean age 42.97±10.44 years; range 23 to 75 years) with BD were included inthis retrospective study.
💡
Conclusion & Impact:Conclusion: Our findings indicate that smoking and HLA-B51 influence severity and systemic involvements of BD with a positive relationship inbetween.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate the separate and cumulative effects of smoking and human leukocyte antigen (HLA)-B51 on the severityand clinical manifestations of Behçet s disease (BD). Patients and methods: A total of 209 patients (119 males, 90 females; mean age 42.97±10.44 years; range 23 to 75 years) with BD were included inthis retrospective study. The severity and clinical manifestations of BD, smoking habits, and presence of HLA-B51 of patients were obtained frommedical records. The severity of BD was evaluated with Behçet s Syndrome Activity Scale (BSAS). Relationship between smoking habits and presenceof HLA-B51 with disease severity and clinical manifestations was investigated. Results: Presence of HLA-B51 was effective on BSAS, erythema nodosum (EN), articular, ocular and neurological involvements (p=0.001, p=0.011,p=0.013, p=0.001, p=0.038, respectively). Smoking was also effective on BSAS, EN, articular, ocular and neurological involvements (p=0.001, p=0.001,p=0.013, p=0.042, p=0.027, respectively). There was a strong association between positive HLA-B51 with smoking (p=0.004). Smoking and HLA- B51 were effective on articular involvement, smoking was effective on EN, and HLA-B51 and smoking were effective on ocular and neurologicalinvolvements (p=0.039, p=0.040, p=0.001, p=0.028, p=0.037, respectively). Conclusion: Our findings indicate that smoking and HLA-B51 influence severity and systemic involvements of BD with a positive relationship inbetween. We recommend that smoking and HLA-B51 should be considered simultaneously in BD since this relationship may lead to incorrectinferences.

🔖

Cite This Article

TUNA, S., ALAN, S., TÜRKOĞLU, E. B. (2022). Effects of Smoking and HLA-B51 on Clinical Manifestations in Behçet's Disease: Retrospective Analysis of 209 Patients in a Turkish Population. Archives of Rheumatology, Cilt: 30 - Sayı: 4, 319–325. https://ajindex.com/articles/448050

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Paovic J, Paovic P, Sredovic V. Behcet’s disease: systemic and ocular manifestations. Biomed Res Int 2013;2013:247345
  2. Bilgin AB, Turkoglu EB, Ilhan HD, Unal M, Apaydin KC. Is Smoking a Risk Factor in Ocular Behçet Disease? Ocul Immunol Inflamm 2014 Apr 15. [Epub ahead of print] 3. Shadmanfar S, Shahram F, Nadji A, Akhlaghi M, Faezi ST, Sadeghi-Abdollahi B, et al. The relationship between plasma homocysteine level and HLA-B51 in patients with Behcet’s disease: a case-control study. Int J Rheum Dis 2014;17:466-70
  3. Sano K, Yabuki K, Imagawa Y, Shiina T, Mizuki N, Ohno S, et al. The absence of disease-specific polymorphisms within the HLA-B51 gene that is the susceptible locus for Behçet’s disease. Tissue Antigens 2001;58:77-82
  4. Özer HT, Günesaçar R, Dinkçi S, Özbalkan Z, Yildiz F, Erken E. The impact of smoking on clinical features of Behçet’s disease patients with glutathione S-transferase polymorphisms. Clin Exp Rheumatol 2012;30(3 Suppl 72):S14-7
  5. Kalayciyan A, Orawa H, Fimmel S, Perschel FH, González JB, Fitzner RG, et al. Nicotine and biochanin A, but not cigarette smoke, induce anti-inflammatory effects on keratinocytes and endothelial cells in patients with Behçet’s disease. J Invest Dermatol 2007;127:81-9
  6. Soy M, Erken E, Konca K, Ozbek S. Smoking and Behçet’s disease. Clin Rheumatol 2000;19:508-9
  7. Rizvi SW, McGrath H Jr. The therapeutic effect of cigarette smoking on oral/genital aphthosis and other manifestations of Behçet’s disease. Clin Exp Rheumatol 2001;19(5 Suppl 24):S77-8
  8. Criteria for diagnosis of Behçet’s disease. International Study Group for Behçet’s Disease. Lancet 1990;335:1078-80
  9. Yilmaz S, Simsek I, Cinar M, Erdem H, Kose O, Yazici Y, et al. Patient-driven assessment of disease activity in Behçet’s syndrome: cross-cultural adaptation, reliability and validity of the Turkish version of the Behçet’s Syndrome Activity Score. Clin Exp Rheumatol 2013;31(3 Suppl 77):77-83
  10. Wallace GR. HLA-B*51 the primary risk in Behçet disease. Proc Natl Acad Sci U S A. 2014;111:8706-7
  11. Gur A, Sarac AJ, Burkan YK, Nas K, Cevik R. Arthropathy, quality of life, depression, and anxiety in Behcet’s disease: relationship between arthritis and these factors. Clin Rheumatol 2006;25:524-31
  12. Krause L, Köhler AK, Altenburg A, Papoutsis N, Zouboulis CC, Pleyer U, et al. Ocular involvement is associated with HLA-B51 in Adamantiades-Behçet’s disease. Eye (Lond) 2009;23:1182-6
  13. Noel N, Bernard R, Wechsler B, Resche-Rigon M, De