Department of Medical Biology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
BC Children's Hospital Research Institute, Vancouver, Canada.
Clin Exp Med. 2023 Dec;23(8):4079-4090. doi: 10.1007/s10238-023-01226-7. Epub 2023 Oct 28.
Behçet's syndrome is a recurring inflammatory multiorgan disorder affecting the skin, mucosa, eyes, joints, stomach, and central nervous system. Behçet's syndrome epidemiology varies greatly among populations (0.64-420/100,000), and Behçet's syndrome has gained increasing international acclaim in the recent 50 years due to raising awareness of the syndrome, although it is rare in most population. In addition to the unclear etiology of the syndrome, the diagnosis of Behçet's syndrome is complicated by a vague clinical presentation, phenotypic heterogeneity and/or incomplete representation, and the lack of any specific laboratory, radiographic, or histological findings. There exists a dire need to elucidate factors that contribute to disease pathogenesis and/or are associated with clinical features of Behçet's syndrome and the classification of different forms of the syndrome. The identification of such molecular, cellular, and/or clinical factors are crucial for timely diagnosis and efficacious management of Behçet's syndrome. We discuss recent advances in the clinical diagnosis of Behçet's syndrome and related contributions of genetics, epigenetics, microbiome, inflammasomes, and autoantibodies to the improved diagnosis, management, and understanding of Behçet's syndrome.
贝赫切特综合征是一种反复发作的炎症性多器官疾病,影响皮肤、黏膜、眼睛、关节、胃和中枢神经系统。贝赫切特综合征的流行病学在不同人群中差异很大(0.64-420/100,000),由于对该综合征的认识不断提高,贝赫切特综合征在最近 50 年中获得了越来越多的国际赞誉,尽管在大多数人群中很少见。除了该综合征的病因不明外,贝赫切特综合征的诊断还因临床表现模糊、表型异质性和/或不完整以及缺乏任何特定的实验室、影像学或组织学发现而变得复杂。迫切需要阐明导致疾病发病机制的因素,以及与贝赫切特综合征的临床特征和综合征不同形式的分类相关的因素。确定这些分子、细胞和/或临床因素对于及时诊断和有效治疗贝赫切特综合征至关重要。我们讨论了贝赫切特综合征临床诊断的最新进展,以及遗传学、表观遗传学、微生物组、炎性小体和自身抗体对改善诊断、管理和理解贝赫切特综合征的相关贡献。