Review
Behçet's disease and thrombophilia
M Leibaa, Y Sidia, H Gura, A Leibaa, M Ehrenfelda ba Department of
Medicine "C", Sheba Medical Centre, Tel-Hashomer, and Sackler
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, b Rheumatic Disease Unit, Sheba Medical Centre,
Tel-Hashomer, and Sackler Faculty of Medicine, Tel Aviv University, Tel
Aviv, Israel
Correspondence to: Dr M Ehrenfeld, Department of Internal Medicine "C", Sheba Medical Centre, Tel-Hashomer 52621, Israel ehrenfel@post.tau.ac.il
Accepted for publication 14 May 2001
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Introduction |
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Behçet's disease (BD), first described in 1973, is characterised by recurrent oral and genital ulcers as well as eye inflammation. Other features of this chronic multisystem inflammatory disease include neurological, cardiovascular, pulmonary, gastrointestinal, musculoskeletal, and dermatological involvement.1
Venous or arterial thrombosis occurs in 25% (10-37%) of patients.2 Venous thrombosis is more common than arterial thrombosis (88% v 12%).3 Deep and superficial venous thrombosis of the legs predominates.4-7
Arteritis is treated with a combination of corticosteroids and cytotoxic agents. Anticoagulants and antiplatelet agents are used for deep venous thrombosis, though there has never been a properly controlled study to justify this treatment in BD.8
The thrombin-antithrombin complex (TAT) is a marker of intravascular thrombin formation. Prothrombin fragments 1+2 (PF1.2) are peptide fragments generated when prothrombin is activated to thrombin. TAT and PF1.2 are both biological markers of thrombin generation and thus correlate with thrombotic risk.9 10
Several studies have shown increased levels of
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