What is Behcet’s Disease?
Behcet’s disease was the result of a combination of three symptoms. These symptoms include mouth sore, genital ulcer, and hypopyon uveitis. The disease, which is actually a vascular inflammation, has different symptoms depending on the part of the inflamed vessel in the body. Although the causes of the disease are not known, it is not genetic or contagious. There is no Behcet’s disease test.
Although a pathergy test is ordered for the diagnosis of Behcet’s disease, the definitive disease cannot be diagnosed according to the result of this test; this test represents only one of the criteria for diagnosis. Behcet’s disease, which directly affects other systems in the body, has a variety of treatment methods that relieve symptoms even if they cannot be treated with certainty. When these methods are applied regularly by the doctor, it is possible to normalize the daily lives of the patients.
Behcet’s Disease Symptoms
Mouth Sores: It is usually a symptom seen in the majority of patients. Sores usually occur several times a month. It is usually found on the tongue, gums, cheeks and palate. Mouth sores can heal within 1-2 days or may be prolonged. Oral traumas, stress, viral and bacterial infections, hormonal conditions and nutritional disorders are effective in the development of sores.
Genital Ulcers: Similar to mouth sores and they are seen in both men and women. They heal by leaving scars. In some cases, ulcers may develop under the armpit, anus circumference and under the breast in women except the genital area.
Erythema nodosum: It is a kind of skin inflammation that occurs in subcutaneous adipose tissue, causing reddened painful swelling. Erythema nodosum (EN), which causes hypersensitivity to touch, affects the ankles, knees, forelimb and forearms. It is six times more common in women aged 20-45 years than in men.
Vascular symptoms: Behcet’s disease reveals itself by making vasculitis, called vascular inflammation. It can cause inflammation and obstruction in both veins and arteries. The involvement of large vessels and heart vessels is a vital risk.
Neurological symptoms: Paralysis may occur in disease, although it is not common.
Renal and urinary system diseases: Although it is not frequent, crucial diseases may occur in different parts of the urinary system.
Behcet’s Disease Treatment
There is no specific treatment because the cause of the disease is not known exactly. Antiseptic mouthwashes and cortisone creams are used for mouth sores. In Behcet’s disease, cortisone-containing drugs are widely used if there are eye, nervous system and digestive system involvement. Colchicine and some drugs used in cancer treatment are the helper in the healing of Behcet’s disease.
The disease progresses in the form of exacerbations and settling periods. The duration of treatment depends on the subsidence of the disease. If the symptoms of the disease subsided after approximately two years of treatment, the drug treatment is terminated and the patient continues to be followed up. If there is eye involvement, treatment would be long.
Although there are totally healed patients, there are patients with a very chronic course and frequent exacerbations. Behcet’s patients frequently use alternative treatment methods.
Behcet’s disease is not an obstacle to going to work and school. However, progressive eye problems may obstruct work or school. Patients without active joint involvement may workout. It is important to avoid stress in the disease. Patients need to eat a balanced and healthy diet. Genital sores can interfere with sexual intercourse. However, women with disease can give birth.