Behçet’s Disease, Pathogenesis, Clinical Features, and Treatment Approaches: A Comprehensive Review

Author:

Lavalle Salvatore1,Caruso Sebastiano2,Foti Roberta3ORCID,Gagliano Caterina14ORCID,Cocuzza Salvatore2ORCID,La Via Luigi5ORCID,Parisi Federica Maria2ORCID,Calvo-Henriquez Christian6ORCID,Maniaci Antonino1ORCID

Affiliation:

1. Faculty of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, Italy

2. Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy

3. Division of Rheumatology, A.O.U. “Policlinico-San Marco”, 95123 Catania, Italy

4. Ophthalmology Clinic, San Marco Hospital, University of Catania, 95123 Catania, Italy

5. Department of Anaesthesia and Intensive Care, University Hospital Policlinico-San Marco, 24046 Catania, Italy

6. Service of Otolaryngology, Hospital Complex of Santiago de Compostela, 15701 Santiago de Compostela, Spain

Abstract

Behçet’s disease is a systemic inflammatory disorder of unknown etiology. The disease manifests with diverse clinical symptoms, most commonly recurrent oral and genital ulcers, skin lesions, and uveitis, though it can affect multiple organ systems. Diagnosis is primarily clinical due to the lack of a definitive diagnostic test, and management involves a multidisciplinary approach to control inflammation and manage symptoms. Current treatment strategies involve corticosteroids, immunosuppressive agents, and, increasingly, biological therapies. Behçet’s disease exhibits a higher prevalence along the Silk Road, suggesting a role of environmental and genetic factors. Despite significant progress in understanding its clinical characteristics and treatment approaches, gaps remain in our understanding of its pathogenesis. Future research is needed to elucidate the disease’s pathophysiology and optimize treatment strategies.

Publisher

MDPI AG

Reference106 articles.

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