Clinical course of ocular Behçet's disease in siblings.

Autor: Onal, Sumru, Tugal-Tutkun, Ilknur, Urgancioglu, Meri, Gul, Ahmet, Onal, S, Tugal-Tutkun, I, Urgancioglu, M, Gul, A
Předmět:
Zdroj: Ocular Immunology & Inflammation; Jun2001, Vol. 9 Issue 2, p111-124, 14p
Abstrakt: Purpose: Familial occurrence has been reported in approximately 8% of Turkish patients with Behçet's disease. Our aim was to compare the clinical course of ocular Behçet's disease among siblings.Methods: We retrospectively studied five pairs of siblings with ocular involvement of Behçet's disease. No other family member of these siblings had any symptom of Behçet's disease.Results: The siblings comprised three sister-brother pairs, one sister-sister pair, and one brother-brother pair. There was a 5-10-year difference between the age at onset of ocular disease among siblings. Three of the five pairs (two sister-brother, one brother-brother) had a dissimilar course of disease activity. Female siblings had an earlier age at onset and tended to have a worse prognosis than their brothers.Conclusions: It is generally acknowledged that male sex is associated with a worse prognosis. In this study, however, we observed that, among siblings with a dissimilar course, female patients were more severely affected than male patients. Poor ocular prognosis in a patient does not indicate aggressive treatment in his/her sibling. We believe that each sibling should be managed on an individual basis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index