Journals / Turkish Journal of Internal Medicine / 2023 / Cilt: 5 - Sayı: 1

Biological Agent Use in Behçet's Patients Who Are Resistant to Conventional Treatments: A Multidisciplinary Retrospective Study

Pages
33–40
Publication Date
2023-01-29
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)

In Group 2, the use of cyclosporine and interferon-α before the anti-TNF agent was higher (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background Comparing treatment modalities is difficult in Behcet's syndrome, even if tumour necrosis factor-alpha (TNF-α) inhibitors are a treatment option for all involvements resistant to conventional therapy.
📊
Key Findings & Data:Material and Methods The study comprised 111 patients from our Behcet's syndrome cohort who were treated with TNF-α inhibitors between 2010 and 2019.
💡
Conclusion & Impact:In Group 2, the use of cyclosporine and interferon-α before the anti-TNF agent was higher (p
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Behcet · dermatology · ophthalmology

Abstract

Background Comparing treatment modalities is difficult in Behcet's syndrome, even if tumour necrosis factor-alpha (TNF-α) inhibitors are a treatment option for all involvements resistant to conventional therapy. This study evaluated how different departments dealt with treatment, particularly with TNF-α inhibitors. Material and Methods The study comprised 111 patients from our Behcet's syndrome cohort who were treated with TNF-α inhibitors between 2010 and 2019. Data on patients were retrieved retrospectively from the rheumatology, ophthalmology, and dermatology clinics' patient records. Results Patients followed up in rheumatology (n: 40) were classified as Group 1, and patients followed up in ophthalmology (n: 49) and dermatology (n: 5) as Group 2. In Group 1, genital ulcers, erythema nodosum (p=0.009, p=0.003, respectively), lower extremity deep vein thrombosis, arterial aneurysm and neurological involvement were more common (p=0.005, p=0.008, p=0.001, respectively). In Group 2, the use of cyclosporine and interferon-α before the anti-TNF agent was higher (p

🔖

Cite This Article

YAĞIZ, B., COŞKUN, B. N., ÇAKAN, Z. K., GÜNDÜZ, G. U., YALÇINBAYIR, Ö., YAZİCİ, S., SARICAOĞLU, H., DALKILIÇ, H. E., PEHLİVAN, Y. (2023). Biological Agent Use in Behçet's Patients Who Are Resistant to Conventional Treatments: A Multidisciplinary Retrospective Study. Turkish Journal of Internal Medicine, Cilt: 5 - Sayı: 1, 33–40. https://ajindex.com/articles/879273

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (7)

  1. Yazici H, Seyahi E, Hatemi G, Yazici Y. Behçet syndrome: A contemporary view. Nat Rev Rheumatol. 2018; 14:119. doi:10.1038/nrrheum.2018.3. Kural-Seyahi E, Fresko I, Seyahi N, Ozyazgan Y, Mat C, Hamuryudan V, Yurdakul S, Yazici H. The long-term mortality and morbidity of Behçet syndrome: A 2-decade outcome survey of 387 patients followed at a dedicated center. Medicine (Baltimore). 2003 Jan;82(1):60-76. doi: 10.1097/00005792-200301000-00006. Seyahi E. Phenotypes in Behçet’s syndrome. Intern Emerg Med. 2019 Aug;14(5):677-689. doi: 10.1007/s11739-019-02046-y. Azizlerli G, Köse AA, Sarica R, Gül A, Tutkun IT, Kulaç M, Tunç R, Urgancioğlu M, Dişçi R. Prevalence of Behçet’s disease in Istanbul, Turkey. Int J Dermatol. 2003 Oct;42(10):803-6. doi: 10.1046/j.1365-4362.2003.01893.x. Esatoğlu SN, Özgüler Y. Behcet's disease: Current treatment. In: Seyahi E, ed. Türkiye Klinikleri Rheumatology. Behcet's disease. 1st ed. Ankara: 2020:98-104.
  2. Seyahi E, Fresko I, Melikoglu M, Yazici H. The management of Behçet’s syndrome. Acta Reumatol Port. 2006 Apr-Jun;31(2):125-31.
  3. Hatemi G, Christensen R, Bang D, Bodaghi B, Celik AF, Fortune F, Gaudric J, Gul A, Kötter I, Leccese P, Mahr A, Moots R, Ozguler Y, Richter J, Saadoun D, Salvarani C, Scuderi F, Sfikakis PP, Siva A, Stanford M, Tugal-Tutkun I, West R, Yurdakul S, Olivieri I, Yazici H. 2018 Update of the EULAR recommendations for the management of Behçet’s syndrome. Ann Rheum Dis. 2018 Jun;77(6):808-818. doi: 10.1136/annrheumdis-2018-213225.
  4. Esatoglu SN, Hatemi G. Update on the treatment of Behçet’s syndrome. Intern Emerg Med. 2019 Aug;14(5):661-675. doi: 10.1007/s11739-019-02035-1.
  5. Tugal-Tutkun I, Onal S, Altan-Yaycioglu R, Huseyin Altunbas H, Urgancioglu M. Uveitis in Behçet disease: An analysis of 880 patients. Am J Ophthalmol. 2004 Sep;138(3):373-80. doi: 10.1016/j.ajo.2004.03.022. Ozyazgan Y, Ucar D, Hatemi G, Yazici Y. Ocular Involvement of Behçet’s Syndrome: A Comprehensive Review. Clin Rev Allergy Immunol. 2015 Dec;49(3):298-306. doi: 10.1007/s12016-014-8425-z. Üsküdar Cansu D. Behcet's disease: Prognosis. In: Seyahi E, ed. Türkiye Klinikleri Rheumatology. Behcet's disease. 1st ed. Ankara: 2020:93-97.
  6. Uçar D, Özyazgan Y. Behcet's disease: Ocular iInvolvement. In: Seyahi E, ed. Türkiye Klinikleri Rheumatology. Behcet's disease. 1st ed. Ankara: 2020:35-42.
  7. Tunc R, Keyman E, Melikoglu M, Fresko I, Yazici H. Target organ associations in Turkish patients with Behçet’s disease: A cross sectional study by exploratory factor