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Diagnosis/Classification Criteria for Behcet's Disease

Published on Sep 27, 2012in Pathology Research International
· DOI :10.1155/2012/607921
Fereydoun Davatchi29
Estimated H-index: 29
(Tehran University of Medical Sciences)
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Abstract
Historical Background. The ISG criteria for Behcet's, created in 1990, have excellent specificity, but lack sensitivity. The International Criteria for Behcet's Disease (ICBD) was created in 2006, as replacement to ISG. The aim of this study was to compare their performance. ISG and ICBD Criteria. For ISG oral aphthosis is mandatory. The presence of any two of the following (genital aphthosis, skin lesions, eye lesions, and positive pathergy test) will diagnose/classify the patient as BD. For ICBD, vascular lesions were added, while oral aphthosis is no more mandatory. Getting 3 or more points diagnose/classify the patient as BD (genital aphthosis 2 points, eye lesions 2 points, and the remaining each one point). Performance and Comparison of ISG and ICBD. Their sensitivity, specificity, and accuracy (percent agreement), were tested in three independent cohort of patients from Far-East (China), Middle-East (Iran), and Europe (Germany). The sensitivity for ISG was respectively 65.4%, 78.1%, 83.7% and for ICBD 87%, 98.2%, and 96.5%. The specificity for ISG was 99.2%, 98.8%, 89.5% and for ICBD 94.1%, 95.6%, and 73.7%. The accuracy for ISG was 74.2%, 85.5%, 85.5% and for ICBD 88.9%, 97.3%, and 89.5%. Conclusion. ICBD has better sensitivity, and accuracy than ISG.
  • References (18)
  • Citations (55)
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References18
Newest
Published on Sep 1, 2011in Clinical Rheumatology 2.29
Fereydoun Davatchi29
Estimated H-index: 29
(Tehran University of Medical Sciences),
Cheyda Chams-Davatchi23
Estimated H-index: 23
(Tehran University of Medical Sciences)
+ 6 AuthorsBahar Sadeghi‐Abdolahi2
Estimated H-index: 2
(Tehran University of Medical Sciences)
Pathergy test (PT) is used for the diagnosis of Behcet’s disease (BD). It is a criterion in many classification/diagnosis criteria. PT is mainly seen in BD but can be seen in other conditions too. PT has been reported with high frequency from most countries along the Silk Road. The sensitivity of pathergy phenomenon (PP) is declining over the time. The aim of this study was to look for the diagnostic value of PT in the past and at the present time. The BD registry (Rheumatology Research Center, ...
Published on May 1, 2010in International Journal of Rheumatic Diseases 1.94
Fereydoun Davatchi29
Estimated H-index: 29
(UT: University of Tehran),
فرهاد شهرام23
Estimated H-index: 23
(UT: University of Tehran)
+ 5 AuthorsBahar Sadeghi Abdollahi13
Estimated H-index: 13
(UT: University of Tehran)
Introduction: Behcet’s Disease (BD) is classified as a vasculitis, and progresses via attacks and remissions. BD is mainly seen around the Silk Road. The picture varies in different reports. For clinical descriptions, the data from the international cohort of patients (27 countries), will be used. Clinical manifestations: Mucous membrane manifestations were oral aphthosis seen in 98.1%, and genital aphthosis in 76.9% of patients. Skin manifestations were seen in 71.9% (pseudofolliculitis in 53.6...
Published on Feb 1, 2010in International Journal of Rheumatic Diseases 1.94
Fereydoun Davatchi29
Estimated H-index: 29
(UT: University of Tehran),
Bahar Sadeghi Abdollahi13
Estimated H-index: 13
(UT: University of Tehran)
+ 7 AuthorsAlireza Faridar4
Estimated H-index: 4
(UT: University of Tehran)
Aim: To evaluate the performance of the new International Criteria for Behcet’s Disease (ICBD) in Iran. The ICBD was created in 2006 to replace the International Study Group (ISG) criteria (created in 1990). In this study, 14 existing diagnosis/classification criteria (Curth, Hewitt, Mason and Barnes, Japan original, Hubault and Hamza, O’Duffy, Cheng and Zhang, Dilsen, Japan revised, International Study Group, Iran traditional, Iran Classification Tree, revised Dilsen, Korea), were evaluated and...
Published on Dec 5, 2007in Aplar Journal of Rheumatology
Fereydoun Davatchi29
Estimated H-index: 29
(UT: University of Tehran),
Cheyda Chams-Davatchi23
Estimated H-index: 23
(UT: University of Tehran)
+ 6 AuthorsBahar Sadeghi‐Abdolahi2
Estimated H-index: 2
(UT: University of Tehran)
Introduction: Pathergy phenomenon (PP) is used as a criterion in many diagnostic criteria for Behcet's disease (BD): Curth, Japan, Hubault and Hamza, Cheng and Zhang, Dilsen, International Study Group, Iran criteria (traditional format and the Classification Tree), Korea criteria, and the new International Criteria. PP is rather specific to BD. It has been reported with high frequency from most countries along the Silk Road, but with much lower frequency from other countries (UK, US). The incide...
Published on Jan 1, 2007
Moyses Szklo83
Estimated H-index: 83
,
F. Javier Nieto77
Estimated H-index: 77
Published on May 1, 2004in Aplar Journal of Rheumatology
Fereydoun Davatchi29
Estimated H-index: 29
,
فرهاد شهرام23
Estimated H-index: 23
+ 3 AuthorsAndrea Bendrups1
Estimated H-index: 1
Aims: Behcet's disease (BD) was originally a disease of the Silk Road. Some authors think that BD from the Silk Road is different from those seen in other countries. The aim of this study was to analyze the clinical manifestations of BD in APLAR countries, where some of them are in the Silk Road (SR) and some others not (NSR). Methods: Data from Australia (NSR), Hong Kong (NSR), India (SR), Iran (SR), and Singapore (SR) were selected and analyzed under the same protocol. Prior published data fro...
Published on Jan 30, 2004in Statistics in Medicine 1.85
Helena C. Kraemer117
Estimated H-index: 117
(Stanford University)
The odds ratio (OR) is probably the most widely used measure of 2 x 2 association in epidemiology, but it often produces results that are puzzling or misleading. Receiver operating characteristic (ROC) methods are used totake a fresh look at the OR and show where and why such puzzling results arise. When researchers choose to report a summary measure of association, the OR is one of many measures of association that might be considered, not one that should be considered the 'gold standard' of 2 ...
Published on Jan 1, 2004in Clinical and Experimental Rheumatology 3.24
Hyun Kyu Chang14
Estimated H-index: 14
(DU: Dankook University),
Shin-Seok Lee23
Estimated H-index: 23
(Chonnam National University)
+ 10 AuthorsSung Won Lee20
Estimated H-index: 20
(Dong-a University)
Objective. Recently we have proposed a modified set of criteria to settle the questions raised regarding the International Study Group (ISG) criteria for Behcet's disease (BD). The aim of the present study was to validate the two pre-existing criteria sets commonly used in Korea, the ISG criteria and the criteria of the Behcet's Disease Research Committee of Japan (Japanese criteria), as well as the proposed modified criteria. Methods. The study population included 155 consecutive patients with ...
Published on Nov 1, 2003in Journal of Clinical Epidemiology 4.65
Afina S. Glas3
Estimated H-index: 3
(UvA: University of Amsterdam),
Jeroen G. Lijmer35
Estimated H-index: 35
+ 2 AuthorsP. M. M. Bossuyt100
Estimated H-index: 100
(UvA: University of Amsterdam)
Diagnostic testing can be used to discriminate subjects with a target disorder from subjects without it. Several indicators of diagnostic performance have been proposed, such as sensitivity and specificity. Using paired indicators can be a disadvantage in comparing the performance of competing tests, especially if one test does not outperform the other on both indicators. Here we propose the use of the odds ratio as a single indicator of diagnostic performance. The diagnostic odds ratio is close...
Published on Jan 1, 2003in Journal of Korean Medical Science 1.72
Hyun Kyu Chang14
Estimated H-index: 14
(DU: Dankook University),
Seung Yong Kim1
Estimated H-index: 1
(UOU: University of Ulsan)
The criteria employed for Korean Behcet's disease (BD) from January 1990 to December 2000 have been investigated, and the diagnostic validity for those criteria was determined. For the generation of a modified set of preliminary criteria from the International Study Group (ISG) criteria, the diagnostic values for individual feature of BD were calculated. The criteria by the Behcet's Disease Research Committee of Japan appeared to be widely employed with the ISG criteria. However, because the ISG...
Cited By55
Newest
Ashutosh Yadav4
Estimated H-index: 4
,
Arghya Chattopadhyay1
Estimated H-index: 1
+ -3 AuthorsUsha Dutta17
Estimated H-index: 17
Published on Jul 1, 2019in Immunology Letters 2.55
Masoud Nouri-Vaskeh , Aida Malek Mahdavi6
Estimated H-index: 6
+ 1 AuthorsGolamreza Jadideslam (Tabriz University of Medical Sciences)
Abstract Introduction Considering the role of interleukin (IL)-9 and IL-9-producing Th9 cells in pathogenesis of autoimmune diseases, this study aimed to evaluate serum IL-9 levels in patients with Behcet’s disease (BD) compared to healthy subjects and to assess whether there is an association between serum IL-9 levels and disease characteristics in BD. Methodology In this cross-sectional study, 32 BD patients according to the International Criteria for BD (ICBD) and 56 age-matched healthy contr...
Published on May 1, 2019
Alberto Bruno2
Estimated H-index: 2
,
Giuseppe Cutaia + 9 AuthorsAntonio Lo Casto7
Estimated H-index: 7
Published on Apr 1, 2019in JAMA Neurology 12.32
David Roshal2
Estimated H-index: 2
,
James P. Dunn44
Estimated H-index: 44
(Wills Eye Institute),
Duo Xu (Wills Eye Institute)
Published on Mar 1, 2019
Sophie B. Kermelly (Laval University), Marie-Ève Boucher (Laval University)+ 1 AuthorsFrançois Maltais62
Estimated H-index: 62
(Laval University)
Abstract Neurological involvement in Behcet's disease is rare, especially at the onset. It can present in the form of parenchymal changes or as damage to the vascular structures in its nonparenchymal form. The coexistence of both kinds of manifestations in the same patient is exceptional. We report the case of a 32-year-old patient with a history of deep venous thrombosis, who was being treated for holocranial headache, apathy, and oral and genital ulcers. Brain magnetic resonance imaging showed...
Published on Sep 3, 2018in Modern Rheumatology 1.97
Shun Tanimura1
Estimated H-index: 1
(Hokkaido University),
Yuichiro Fujieda11
Estimated H-index: 11
(Hokkaido University)
+ 16 AuthorsAsako Mitani1
Estimated H-index: 1
(Hokkaido University)
AbstractObjectives: Presepsin (PSEP: soluble CD14 subtype) is produced from bacteria-stimulated monocytes or neutrophils, thus recognized as a biomarker of sepsis. Aberrant functions in monocyte or neutrophils are increasingly recognized in systemic lupus erythematosus (SLE). We investigated whether plasma PSEP reflects disease activity in patients with SLE.Methods: This retrospective study comprised 35 patients with SLE and 72 with non-SLE autoimmune diseases who visited our facility during the...
Published on Aug 1, 2018in Autoimmunity Reviews 7.72
Florian Berteau2
Estimated H-index: 2
,
B. Rouviere2
Estimated H-index: 2
+ 5 AuthorsClaire de Moreuil6
Estimated H-index: 6
Abstract Introduction Behcet disease (BD) is a systemic vasculitis involving vessels from any size with various clinical features. Most BD cases are multifactorial and associated with the HLA B51 antigen. In rare and severe early onset cases, dominant Mendelian transmission has been linked to mutations in the TNFAIP3 gene encoding A20. Herein, we propose a systematic review of the literature about the haploinsufficiency A20 (HA20) published cases. Systematic review Our review of the 45 cases of ...
Published on Aug 1, 2018in Zeitschrift Fur Rheumatologie 0.90
Hintergrund Die Rheumatologie und die Dermatologie sind 2 medizinische Fachbereiche, die eng miteinander verflochten sind.
Published on Jul 1, 2018in Rheumatology International 2.20
Marko Barešić3
Estimated H-index: 3
,
Mirna Reihl + 2 AuthorsBranimir Anić10
Estimated H-index: 10
Behcet’s disease is a chronic inflammatory condition of unknown origin characterized by multiple organ involvement. The most common symptoms of Behcet’s disease are recurrent oral and/or genital ulcerations in combination with symptoms affecting eyes, skin, central and peripheral nervous system, blood vessels and gastrointestinal tract. We present a 43-year-old female patient with the history of recurrent episodes of genital and oral ulcerations, elevated acute phase reactants and skin lesions. ...