Harman Ece, Sayarlıoglu Mehmet, Harman Mustafa, Sayarlıoglu Hayriye
Department of Internal Medicine, Division of Endocrinology and Metabolism Disease, Katip Celebi University, Izmir, Turkey.
Acta Med Iran. 2013 May 7;51(4):215-23.
Behcet´s disease (BD) is accepted as a systemic vasculitis. Vasculitis is observed predominantly on the venous system. Vessel involvement is frequently seen in males. This study was planned retrospectively evaluate demographic features, clinical features, vessel involvements in BD. Furthermore, we aimed to prospectively compare consecutively chosen patients with and without thrombosis and healthy volunteers in terms of their biochemical, immunological, coagulation parameters. One hundred fifty-two Behcet´s patients were retrospectively evaluated. Blood samples were collected from 52 consecutively chosen patients and 41 healthy subjects. Papulopustular skin lesions, eye involvement and venous lesions were detected frequent in males. In terms of evaluated parameters (biochemical parameters, coagulation parameters, C-reactive protein, erythrocyte sedimentation rate, anticardiolipin antibodies, antinuclear antibody positivity) was not found a significant difference among groups (patients without thrombosis, healthy control subjects, patients with thrombosis). We detected statistically significant difference in terms of factor V levels between patient and control group. The tendency to thrombosis in patients with BD is well known. The endothelial lesion, increased procoagulant activity, hypofibrinolysis were found to be responsible from these events. In our study, there was no significant difference in terms of coagulation parameters between the patients without and with thrombosis.
白塞病(BD)被公认为一种系统性血管炎。血管炎主要在静脉系统中观察到。血管受累在男性中更为常见。本研究旨在回顾性评估白塞病的人口统计学特征、临床特征和血管受累情况。此外,我们旨在前瞻性比较连续选取的有血栓形成和无血栓形成的患者以及健康志愿者的生化、免疫和凝血参数。对152例白塞病患者进行了回顾性评估。从52例连续选取的患者和41例健康受试者中采集血样。丘疹脓疱性皮肤病变、眼部受累和静脉病变在男性中更为常见。在所评估的参数(生化参数、凝血参数、C反应蛋白、红细胞沉降率、抗心磷脂抗体、抗核抗体阳性)方面,各组(无血栓形成的患者、健康对照受试者、有血栓形成的患者)之间未发现显著差异。我们检测到患者组和对照组之间在因子V水平方面存在统计学显著差异。白塞病患者有血栓形成倾向是众所周知的。内皮病变、促凝活性增加、纤维蛋白溶解功能减退被认为是这些事件的原因。在我们的研究中,无血栓形成和有血栓形成的患者在凝血参数方面没有显著差异。