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18th Edition (August 5, 2011)


Home Criteria Rheumatology Criteria for the Diagnosis of Behçet’s Disease


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Criteria for the Diagnosis of Behçet’s Disease Print E-mail
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Written by G. Firman MD   
Sunday, 22 February 2009 14:08

 

Finding
Definition
Recurrent oral ulceration Minor aphthous, major aphthous, or herpetiform ulcers observed by the physician or patient, which have recurred at least three times over a 12-month period
Recurrent genital ulceration Aphthous ulceration or scarring observed by the physician or patient
Eye lesions Anterior uveitis, posterior uveitis, or cells in the vitreous on slit-lamp examination; or retinal vasculitis detected by an ophthalmologist
Skin lesions Erythema nodosum observed by the physician or patient, pseudofolliculitis, or papulopustular lesions; or acneiform nodules observed by the physician in a postadolescent patient who is not receiving corticosteroids
Positive pathergy test Test interpreted as positive by the physician at 24 to 48 hours

For the diagnosis to be made, a patient must have recurrent oral ulceration plus at least two of the other findings in the absence of other clinical explanations.

 

References:

  1. O'Neill TW, Rigby AS, Silman AJ, Barnes C. Validation of the International Study Group criteria for Behçet's disease. Br J Rheumatol. 1994 Feb;33(2):115-7. [Medline]

 

Created: Sep 10, 2007

 


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