Homocysteine may involve in the pathogenesis of Behcet's disease by inducing inflammation.
OBJECTIVE
Our aim was to evaluate the significance of homocysteine (Hcy) in Behcet's disease (BD) and the association of elevated Hcy levels associated with the indices of inflammation in BD.


METHODS
Untreated 70 patients with BD and 33 healthy individuals were included into the study. Hcy, tumor necrosis alpha (TNF-alpha), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) were evaluated with respect to activity and specific individual clinical manifestations of the disease.


RESULTS
Hcy levels were found significantly elevated in active BD when compared to inactive BD and healthy controls. Hcy levels were found to have high correlation with the number of active clinical manifestations increased. A significant positive correlation was found between serum Hcy and TNF-alpha levels, CRP, and ESR. Hcy was found to be the best predictor of TNF-alpha among other parameters.


CONCLUSIONS
Hcy may involve in the pathogenesis of BD by inducing inflammation.
Kartal Durmazlar
Selda Pelin
SP
Department of Dermatology, Diskapi Yildirim Beyazit Education and Research Hospital, Ministry of Health Ankara, 06110 Ankara, Turkey.
Akgul
Ahmet
A
Eskioglu
Fatma
F
D000328:Adult; D001528:Behcet Syndrome / Q000209:etiology*; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000032:analysis; D005260:Female; D006710:Homocysteine / Q000097:blood / Q000502:physiology*; D006801:Humans; D007249:Inflammation / Q000209:etiology*; D008297:Male; D014409:Tumor Necrosis Factor-alpha / Q000097:blood
D014409:Tumor Necrosis Factor-alpha; D006710:Homocysteine; D002097:C-Reactive Protein