2016, Número 3
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Rev Cubana Hematol Inmunol Hemoter 2016; 32 (3)
Síndrome de Behcet
Alfonso VME
Idioma: Español
Referencias bibliográficas: 78
Paginas: 301-315
Archivo PDF: 159.57 Kb.
RESUMEN
El síndrome de Behcet, también conocido como enfermedad de Behcet es un proceso
autoinflamatorio crónico de baja frecuencia y etiología desconocida. Es una vasculitis
que afecta arterias y venas de todos los calibres, provoca una alteración de la función
endotelial y se expresa clínicamente con lesiones orgánicas en varios niveles. Tiene
una mayor incidencia en los países localizados en la antigua ruta de la seda
(mediterraneo del este, oriente medio y este de Asia). En su fisiopatogenia
intervienen factores genéticos, microbianos e inmunológicos. Los síntomas varían de
persona a persona y de acuerdo a las regiones geográficas, pero los más comunes
son las úlceras orales y genitales, inflamaciones oculares (uveítis, retinitis e iritis),
lesiones de piel y artritis. En algunos casos pueden presentarse alteraciones del
sistema nervioso central, del tracto digestivo y renal. Como guía para el diagnóstico
se emplean los criterios del grupo internacional de estudio de la enfermedad de
Behcet. El tratamiento incluye medicamentos de uso tópico y sistémico, entre estos
los más empleados son los esteroides, los inhibidores del factor de necrosis tumoral y
los inmunosupresores.
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