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Clinical Features of Patients with Behçet's Disease and Epididymitis

Authors
 YOUNG-HUN CHO  ;  JEANNE JUNG  ;  SUNGNACK LEE  ;  EUN-SO LEE  ;  DONGSIK BANG  ;  KWANG-HOON LEE 
Citation
 JOURNAL OF UROLOGY, Vol.170(4Pt1) : 1231-1233, 2003 
Journal Title
 JOURNAL OF UROLOGY 
ISSN
 0022-5347 
Issue Date
2003
MeSH
Adolescent ; Adult ; Behcet Syndrome/complications* ; Behcet Syndrome/diagnosis ; Epididymitis/etiology* ; Humans ; Male ; Middle Aged
Keywords
testis ; epididymis ; Behçet disease ; epididymitis ; ulcers
Abstract
PURPOSE: Epididymitis is a rare manifestation of Behçet's disease but its clinical significance is still not fully understood. We evaluated the clinical significance of epididymitis in patients with Behçet's disease. MATERIALS AND METHODS: Of 780 male patients attending our clinics between 1985 and 2002 who were diagnosed with Behçet's disease by international criteria or who had the complete or incomplete type of Behçet's disease by Japanese criteria 36 were identified with epididymitis. Clinical data on these patients were reviewed. RESULTS: The 36 patients were categorized into the complete (13 or 36.1%) and incomplete (23 or 63.9%) types of Behçet's disease with an average age at onset of 27.4 years. The frequency of individual symptoms were oral ulcers and cutaneous involvement in all 36 cases (100%), genital ulcers in 32 (88.9%), arthritis in 18 (50.0%), ocular involvement in 17 (47.2%), central nervous system involvement in 2 (5.6%), gastrointestinal ulcer in 1 (2.8%) and a positive pathergy test in 4 (11.1%). A significantly higher number of patients with epididymitis had genital ulcers (p <0.05), cutaneous involvement (p <0.001), arthritis (p <0.05), central nervous system involvement (p <0.05) and a positive pathergy test (p <0.05) compared with the other 744 with Behçet's disease without epididymitis who served as controls. CONCLUSIONS: To our knowledge there has been no controlled study of the clinical significance of epididymitis in Behçet's disease. Our results suggest a tendency toward severe Behçet's disease manifestations in patients with epididymitis, prompting physicians to evaluate closely and meticulously treat such patients.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022534705631357
DOI
10.1097/01.ju.0000081957.90395.4c
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Bang, Dong Sik(방동식)
Lee, Kwang Hoon(이광훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113417
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