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베체트 관절염의 임상적 관찰

Other Titles
 Behcet’s Arthritis 
 양익환  ;  한창동  ;  오현철  ;  김진영 
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.43(2) : 220-226, 2008 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
Issue Date
Arthritis ; Behҫet's disease
Purpose: The clinical manifestations of Behçet's arthritis are similar to those of rheumatoid arthritis, and they need to be differentiated. The objective of this study was to evaluate the past history, diagnosis, treatments and clinical findings of Behçet's arthritis. Materials and Methods: Among 1,602 cases with Behçet's disease, 87 cases with Behçet's arthritis were enrolled in this study between January 1990 and December 2000. A thorough review of each case was done by examining the patients' medical charts and personal interview. The clinical manifestation, the existence of morning stiffness and laboratory studies including ESR, CRP, AS, and RF were investigated. The Shimizu classification was used as diagnostic criteria. Results: There was no preponderance of gender and the most prevalent age group was in their 3<SUP>rd</SUP> and 4<SUP>th</SUP> decades. The most common involved site was the knee joint (60 of 87 cases), and multiple site involvement was common (56.0%). Clinically, symptoms such as pain, tenderness and joint swelling were common. According to the Shimizu classification, the incomplete type was the most common (67.8%). The symptoms improved after conservative treatment, but 12 cases (21.0%) recurred within one year. Arthroscopic synovectomy was performed in 2 cases, but these cases showed no improvement. Conclusion: Behçet's arthritis should be differentiated from rheumatoid arthritis, and conservative treatment showed good clinical results.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Ick Hwan(양익환)
Han, Chang Dong(한창동)
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