血液型白塞综合征临床诊治进展
Progress in clinical diagnosis and treatment of blood type Behcet syndrome
Received date: 2024-11-12
Online published: 2025-10-27
申艳 , 管剑龙 . 血液型白塞综合征临床诊治进展[J]. 内科理论与实践, 2025 , 20(04) : 272 -275 . DOI: 10.16138/j.1673-6087.2025.04.02
Behcet syndrome is a multi-system involved vascular inflammatory disease, it is called blood type Behcet syndrome as it involves the blood system. This type of disease is rare, and the prognosis is poor. Medical staff’s awareness of the disease is relatively insufficient, which may lead to misdiagnosis. This article reviews the clinical phenotypic characteristics and treatment strategies of blood type Behcet syndrome.
| [1] | Müftüoglu AU. Symposium on the hematological and immunological aspects of Beh?et’s disease[J]. Haematologica, 1980, 65(3):374-380. |
| [2] | Jennette JC, Falk RJ, Bacon PA, et al. 2012 revised international chapel hill consensus conference nomenclature of vasculitides[J]. Arthritis Rheum, 2013, 65(1):1-11. |
| [3] | Nehashi Y, Torii Y, Yaguchi M, et al. Incomplete-form of Beh?et disease in a case of monopathic myelodysplastic syndrome presenting as a thrombocytopenia[J]. Rinsho Ketsueki, 1988, 29(7):1097-1102. |
| [4] | Zou J, Luo JF, Shen Y, et al. Cluster analysis of phenotypes of patients with Beh?et’s syndrome: a large cohort study from a referral center in China[J]. Arthritis Res Ther, 2021, 23(1):45. |
| [5] | Soejima Y, Kirino Y, Takeno M, et al. Changes in the proportion of clinical clusters contribute to the phenotypic evolution of Beh?et’s disease in Japan[J]. Arthritis Res Ther, 2021, 23(1):49. |
| [6] | She CH, Hu D, Zou J, et al. Clinical phenotypes of adult-onset Beh?et’s syndrome: a comprehensive cross-sectional study in China[J]. Clin Rheumatol, 2024, 43(7):2261-2271. |
| [7] | Shen Y, Ma HF, Luo D, et al. High incidence of gastrointestinal ulceration and cytogenetic aberration of trisomy 8 as typical features of Beh?et’s disease associated with myelodysplastic syndrome: a series of 16 consecutive Chinese patients from the Shanghai Beh?et’s disease database and comparison with the literature[J]. Biomed Res Int, 2018,2018:8535091. |
| [8] | 马海芬, 申艳, 罗丹, 等. 白塞病合并8号染色体三体22例分析及文献复习[J]. 复旦学报(医学版), 2021, 48(4):457-462. |
| Ma HF, Shen Y, Luo D, et al. Analysis of 22 cases of Behcet’s disease associated with trisomy 8 and literature review[J]. Fudan Univ J Med Sci, 2021, 48(4):457-462. | |
| [9] | Zou J, Luo D, Shen Y, et al. Characteristics and phenotype heterogeneity in late-onset Beh?et’s syndrome: a cohort from a referral center in China[J]. Clin Rheumatol, 2021, 40(6):2319-2326. |
| [10] | Park JB, Han SJ, Lee SB, et al. Optimal treatment approaches to intestinal Beh?et’s disease complicated by Myelodysplastic syndrome: the KASID and KSBD multicenter study[J]. Yonsei Med J, 2024, 65(5):265-275. |
| [11] | 赵婉雯. 19例儿童白塞病样8号染色体三体临床特征分析[D]. 长春: 吉林大学, 2024. |
| Zhao WW. Clinical features of childhood Beh?et’s disease like trisomy 8:a summary of 19 cases[D]. Changchun: Jilin University, 2024. | |
| [12] | Ding Y, Hu W, Li L, et al. Clinical features and independent predictors of Beh?et’s disease associated with myelodysplastic syndrome[J]. Clin Exp Rheumatol, 2023, 41(9):1823-1830. |
| [13] | Haase D. Cytogenetic features in myelodysplastic syndromes[J]. Ann Hematol, 2008, 87(7):515-526. |
| [14] | Thachil JV, Salim R, Field A, et al. Myelodysplastic syndrome with trisomy 8 associated with Beh?et syndrome: an immunologic link to a karyotypic abnormality[J]. Pediatr Blood Cancer, 2008, 50(3):649-651. |
| [15] | Kimura S, Kuroda J, Akaogi T, et al. Trisomy 8 involved in myelodysplastic syndromes as a risk factor for intestinal ulcers and thrombosis-Beh?et’s syndrome[J]. Leuk Lymphoma, 2001, 42(1-2):115-121. |
| [16] | Hisamatsu T, Naganuma M, Matsuoka K, et al. Diagnosis and management of intestinal Beh?et’s disease[J]. Clin J Gastroenterol, 2014, 7(3):205-212. |
| [17] | Chen G, Zeng W, Miyazato A, et al. Distinctive gene expression profiles of CD34 cells from patients with myelodysplastic syndrome characterized by specific chromosomal abnormalities[J]. Blood, 2004, 104(13):4210-4218. |
| [18] | Wesner N, Drevon L, Guedon A, et al. Gastrointestinal Behcet’s-like disease with myelodysplastic neoplasms with trisomy 8: a French case series and literature review[J]. Leuk Lymphoma, 2019, 60(7):1782-1788. |
| [19] | Yamazaki M, Yajima T, Tanabe M, et al. Mucosal T cells expressing high levels of IL-7 receptor are potential targets for treatment of chronic colitis[J]. J Immunol, 2003, 171(3):1556-1563. |
| [20] | Lee S, Choi WH, Kim JS, et al. Trisomy 8 associated Beh?et’s like disease[J]. J Rheum Dis, 2021, 28(2):107-109. |
| [21] | Wesner N, Fenaux P, Jachiet V, et al. Beh?et’s-like syndrome and other dysimmunitary manifestations related to myelodysplastic syndromes with trisomy 8[J]. Rev Med Interne, 2021, 42(3):170-176. |
| [22] | Lv Q, Li Y, Wei Q, et al. Autoinflammatory syndromes mimicking Beh?et’s disease with gastrointestinal involvement: a retrospective analysis[J]. Clin Exp Rheumatol, 2024, 42(10):2076-2085. |
| [23] | Zhang X, Zhao Y, Pan Y, et al. Trisomy 8 presentation by inflammatory manifestations and its response to thalidomide: two case reports and narrative review[J]. Front Pediatr, 2024,12:1431511. |
| [24] | Fu Y, Wu W, Chen Z, et al. Trisomy 8 associated clonal cytopenia featured with acquired auto-inflammation and its response to JAK inhibitors[J]. Front Med (Lausanne), 2022,9:895965. |
| [25] | Okamoto T, Okada M, Mori A, et al. Correlation between immunological abnormalities and prognosis in myelodysplastic syndrome patients[J]. Int J Hematol, 1997, 66(3):345-351. |
| [26] | Liu Z, Yang C, Bai X, et al. Clinical features and prognosis of patients with gastrointestinal Beh?et’s disease-like syndrome and myelodysplastic syndrome with and without trisomy 8[J]. Semin Arthritis Rheum, 2022,55:152039. |
| [27] | Kobayashi K, Ueno F, Bito S, et al. Development of consensus statements for the diagnosis and management of intestinal Beh?et’s disease using a modified Delphi approach[J]. J Gastroenterol, 2007, 42(9):737-745. |
| [28] | Pan FY, Fan HZ, Zhuang SH, et al. Severe inflammatory disorder in trisomy 8 without myelodysplastic syndrome and response to methylprednisolone: a case report[J]. World J Clin Cases, 2023, 11(26):6206-6212. |
| [29] | Wei Q, Zhang X, Peng Y, et al. Successful treatment by thalidomide therapy of intestinal Beh?et’s disease associated with trisomy 8 myelodysplastic syndrome[J]. Rheumatology (Oxford), 2021, 60(6):e200-e202. |
| [30] | Vallet H, Riviere S, Sanna A, et al. Efficacy of anti-TNF alpha in severe and/or refractory Beh?et’s disease: multicenter study of 124 patients[J]. J Autoimmun, 2015,62:67-74. |
| [31] | Bao HF, Hou CC, Ye B, et al. Predictors of infliximab refractory intestinal Beh?et’s syndrome: a retrospective cohort study from the Shanghai Beh?et’s syndrome database[J]. Mod Rheumatol, 2023, 33(1):207-216. |
| [32] | Yilmaz U, Ar MC, Esatoglu SN, et al. How to treat myelodysplastic syndrome with clinical features resembling Beh?et syndrome: a case-based systematic review[J]. Ann Hematol, 2020, 99(6):1193-1203. |
| [33] | Liu C, Fu C, Guo X, et al. Allogeneic hematopoietic stem cell transplantation for juvenile myelomonocytic leukemia with intestinal Beh?et’s disease: a case report[J]. Int J Rheum Dis, 2024, 27(1):e14882. |
| [34] | Soysal T, Saliho?lu A, Esato?lu SN, et al. Bone marrow transplantation for Beh?et’s disease: a case report and systematic review of the literature[J]. Rheumatology (Oxford), 2014, 53(6):1136-1141. |
/
| 〈 |
|
〉 |