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British Journal of Ophthalmology 2007;91:1573-1574; doi:10.1136/bjo.2007.124875
Copyright © 2007 by the BMJ Publishing Group Ltd.

EDITORIALS

Behçet’s disease: global epidemiology of an Old Silk Road disease

Hiroshi Keino and Annabelle A Okada

Department of Ophthalmology, Kyorin University School of Medicine, Tokyo, Japan

Correspondence to:
Hiroshi Keino, Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, Japan 181-8611; hirojunharu@aol.com


Although much is yet to be discovered about Behçet’s disease, genetic, environmental and infectious factors are thought to play a role in its development

The first 150 words of the full text of this article appear below.

Behçet’s disease is a multisystem disorder named after the Turkish dermatologist, Hulusi Behçet (1889–1948), who recognised and reported in 1937 a triad of symptoms consisting of recurrent eye inflammation, oral ulcers and genital ulcers.1 The disease had also been alluded to in descriptions by physicians as far back as Hippocrates.2 Behçet’s disease is particularly common in the Far East and the Mediterranean basin, and is frequently noted between the 30th and 45th degree latitudes in Asian and European populations,3 corresponding to the Old Silk Road, an ancient trading route stretching between the Mediterranean, the Middle East and the Far East. In contrast, this disorder is uncommon in the American continents, Oceania and sub-Saharan Africa.3

The underlying pathological process of Behçet’s disease is a systemic occlusive vasculitis,4 resulting in the four major clinical manifestations of (1) recurrent and chronic intraocular inflammation, (2) recurrent aphthous ulcers of the mouth, (3) genital ulcers . . . [Full text of this article]


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