title: Single center study on ethnic and clinical features of Behcet's disease in Moscow, Russia.
abstract: For the purpose of investigating Behcet's disease (BD) in Russia, 250 consecutive patients (177 men and 73 women) diagnosed with BD between 1990 and 2010 at the Research Institute of Rheumatology, Russian Academy of Medical Sciences in Moscow were enrolled in this study. The ethnic backgrounds of the patients were reported as follows: 23.2% (58 cases) from Russia, 12.8% (32 cases) from Azerbaijan, 14.4% (36 cases) from Armenia, 8.8% (22 cases) from Chechnya, and 21.6% (55 cases) from Dagestan. The remaining 19.2% (48 cases) were from other regions or of unknown origin. More than half (57.6%) of the Behcet's disease patients originated from Central Asia, specifically Azerbaijan, Armenia, Chechnya, and Dagestan. The mean age at disease onset was 31.5 ± 9.38 (13-60) years old, and the most typical initial manifestations were oral aphthous ulcers. Patients aged 20-39 years old were more commonly affected and displayed a wide clinical spectrum of the disease, with varieties of severe internal organ involvement. The manifestations observed throughout the course of the disease included oral aphthous ulcers (100%), various cutaneous lesions (88.8%), genital ulcers (81.2%), and ocular lesions (54.0%). Besides these, many organs/systems were implicated in patient cases, namely joint (53.2%), vascular (25.2%), neurological (8.0%), gastrointestinal (25.2%), and cardiac (5.6%) systems. Involvements of ocular (p < 0.01) and skin (p < 0.01) lesions were more frequent in men than in women. HLA-B51 and HLA-A26 typing was performed in 127 patients and 508 healthy controls. HLA-B51 was found in 63.0% of BD patients compared to 20.7% of the healthy control subjects (p < 0.001), and HLA-A26 was present in 11.3% of BD patients and 18.9% of the control group. This study shows the presence of BD in Russia, and it is suggested that its prevalence in Central Asian people is much higher than that in White Russian.
authors: Department of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
authors: Anton
authors: A
authors: Lennikov
authors: Zemfira
authors: Z
authors: Alekberova
authors: Regina
authors: R
authors: Goloeva
authors: Nobuyoshi
authors: N
authors: Kitaichi
authors: Lev
authors: L
authors: Denisov
authors: Kenichi
authors: K
authors: Namba
authors: Mitsuhiro
authors: M
authors: Takeno
authors: Yoshiaki
authors: Y
authors: Ishigatsubo
authors: Nobuhisa
authors: N
authors: Mizuki
authors: Eugeny
authors: E
authors: Nasonov
authors: Susumu
authors: S
authors: Ishida
authors: Shigeaki
authors: S
authors: Ohno
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D001528:Behcet Syndrome / Q000175:diagnosis* / Q000208:ethnology / Q000276:immunology; D005260:Female; D015234:HLA-A Antigens / Q000097:blood; D059949:HLA-B51 Antigen / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D009031:Moscow / Q000453:epidemiology; D015995:Prevalence; D012426:Russia; D055815:Young Adult
chemical_list: D015234:HLA-A Antigens; C039683:HLA-A*26 antigen; D059949:HLA-B51 Antigen