Skip to main content

Advertisement

Log in

A pediatric patient with neuro-Behçet’s disease

  • CASE REPORT
  • Published:
Modern Rheumatology

Abstract

Behçet’s disease is rare in childhood. We describe a 10-year-old boy with neuro-Behçet’s disease (NB) who presented with fever, headache, vertigo, and hearing loss. An examination of the cerebrospinal fluid (CSF) revealed pleocytosis as well as elevated protein and interleukin (IL)-6 levels. Brain magnetic resonance imaging (MRI) showed hyperintensity of the right thalamus and midbrain on T2-WI, and gadolinium (Gd) enhancement of left acoustic nerve origin. HLA-B51 was positive. Prednisolone combined with methotrexate resulted in a complete remission. Brain MRI and the CSF IL-6 level were useful for the diagnosis and monitoring of this pediatric patient with NB.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. S Fujikawa T Suemitsu (1997) ArticleTitleBehçet disease in children: a nationwide retrospective survey in Japan Acta Paediatr Jpn 39 IssueID2 285–9 Occurrence Handle1:STN:280:DyaK2s3os1Srug%3D%3D Occurrence Handle9141274

    CAS  PubMed  Google Scholar 

  2. N Mizuki S Ohno T Sato M Ishihara S Miyata S Nakamura et al. (1995) ArticleTitleMicrosatellite polymorphism between the tumor necrosis factor and HLA-B genes in Behçet’s disease Hum Immunol 43 IssueID2 129–35 10.1016/0198-8859(94)00159-N Occurrence Handle10.1016/0198-8859(94)00159-N Occurrence Handle1:CAS:528:DyaK2MXmvFCgsLY%3D Occurrence Handle7591872

    Article  CAS  PubMed  Google Scholar 

  3. N Mizuki M Ota Y Katsuyama K Yabuki H Ando T Shiina et al. (2001) ArticleTitleHLA-B*51 allele analysis by the PCR-SBT method and a strong association of HLA-B*5101 with Japanese patients with Behçet’s disease Tissue Antigens 58 IssueID3 181–4 10.1034/j.1399-0039.2001.580306.x Occurrence Handle10.1034/j.1399-0039.2001.580306.x Occurrence Handle1:CAS:528:DC%2BD3MXptVKqtLs%3D Occurrence Handle11703826

    Article  CAS  PubMed  Google Scholar 

  4. O Oktem-Tanor B Baykan-Kurt IH Gurvit G Akman-Demir P Serdaroglu (1999) ArticleTitleNeuropsychological follow-up of 12 patients with neuro-Behçet disease J Neurol 246 IssueID2 113–9 10.1007/s004150050317 Occurrence Handle10.1007/s004150050317 Occurrence Handle1:STN:280:DyaK1M3gvFOrsw%3D%3D Occurrence Handle10195406

    Article  CAS  PubMed  Google Scholar 

  5. P Serdaroglu H Yazici C Ozdemir S Yurdakul S Bahar E Aktin (1989) ArticleTitleNeurologic involvement in Behçet’s syndrome. A prospective study Arch Neurol 46 IssueID3 265–9 Occurrence Handle1:STN:280:DyaL1M7kvFCksA%3D%3D Occurrence Handle2919979

    CAS  PubMed  Google Scholar 

  6. JD O’Duffy (1994) ArticleTitleBehçet’s disease Curr Opin Rheumatol 6 IssueID1 39–43 Occurrence Handle10.1097/00002281-199401000-00007 Occurrence Handle8031678

    Article  PubMed  Google Scholar 

  7. G Akman-Demir P Serdaroglu B Tasci (1999) ArticleTitleClinical patterns of neurological involvement in Behçet’s disease: evaluation of 200 patients. The Neuro-Behçet Study Group Brain 122 IssueIDPt 11 2171–82 10.1093/brain/122.11.2171 Occurrence Handle10.1093/brain/122.11.2171 Occurrence Handle10545401

    Article  PubMed  Google Scholar 

  8. T Shimizu GE Ehrlich G Inaba K Hayashi (1979) ArticleTitleBehçet disease (Behçet syndrome) Semin Arthritis Rheum 8 IssueID4 223–60 10.1016/0049-0172(79)90004-0 Occurrence Handle10.1016/0049-0172(79)90004-0 Occurrence Handle1:STN:280:DyaE1M3kvVylsA%3D%3D Occurrence Handle382361

    Article  CAS  PubMed  Google Scholar 

  9. M Mori C Shimizu T Kuriyama M Ibe T Mitsuda Y Aihara et al. (1994) ArticleTitleBehçet’s disease in childhood — case reports and review of literature (in Japanese) Ryumachi 34 IssueID1 34–41 Occurrence Handle1:STN:280:DyaK2c7ps1CgsQ%3D%3D Occurrence Handle8146726

    CAS  PubMed  Google Scholar 

  10. I Kone-Paut S Yurdakul SA Bahabri N Shafae S Ozen H Ozdogan et al. (1998) ArticleTitleClinical features of Behçet’s disease in children: an international collaborative study of 86 cases J Pediatr 132 IssueID4 721–5 10.1016/S0022-3476(98)70368-3 Occurrence Handle10.1016/S0022-3476(98)70368-3 Occurrence Handle1:STN:280:DyaK1c3ktFykuw%3D%3D Occurrence Handle9580778

    Article  CAS  PubMed  Google Scholar 

  11. HR Jager T Albrecht WL Curati-Alasonatti EJ Williams DO Haskard (1999) ArticleTitleMRI in neuro-Behçet’s syndrome: comparison of conventional spin-echo and FLAIR pulse sequences Neuroradiology 41 IssueID10 750–8 10.1007/s002340050837 Occurrence Handle10.1007/s002340050837 Occurrence Handle1:STN:280:DC%2BD3c%2FitVeruw%3D%3D Occurrence Handle10552026

    Article  CAS  PubMed  Google Scholar 

  12. N Kocer C Islak A Siva S Saip C Akman O Kantarci et al. (1999) ArticleTitleCNS involvement in neuro-Behçet syndrome: an MR study Am J Neuroradiol 20 IssueID6 1015–24 Occurrence Handle1:STN:280:DyaK1Mznt1Kjuw%3D%3D Occurrence Handle10445437

    CAS  PubMed  Google Scholar 

  13. S Saltik S Saip N Kocer A Siva C Yalcinkaya (2004) ArticleTitleMRI findings in pediatric neuro-Behçet’s disease Neuropediatrics 35 IssueID3 190–3 10.1055/s-2004-815826 Occurrence Handle10.1055/s-2004-815826 Occurrence Handle1:STN:280:DC%2BD2czktl2rsw%3D%3D Occurrence Handle15248102

    Article  CAS  PubMed  Google Scholar 

  14. S Kotake K Higashi K Yoshikawa Y Sasamoto T Okamoto H Matsuda (1999) ArticleTitleCentral nervous system symptoms in patients with Behçet disease receiving cyclosporine therapy Ophthalmology 106 IssueID3 586–9 10.1016/S0161-6420(99)90120-3 Occurrence Handle10.1016/S0161-6420(99)90120-3 Occurrence Handle1:STN:280:DyaK1M7nvVejsQ%3D%3D Occurrence Handle10080218

    Article  CAS  PubMed  Google Scholar 

  15. S Hirohata H Kikuchi (2003) ArticleTitleBehçet’s disease Arthritis Res Ther 5 IssueID3 139–46 10.1186/ar757 Occurrence Handle10.1186/ar757 Occurrence Handle1:CAS:528:DC%2BD3sXjvVGhsb4%3D Occurrence Handle12723980

    Article  CAS  PubMed  Google Scholar 

  16. S Hirohata K Isshi H Oguchi T Ohse H Haraoka A Takeuchi et al. (1997) ArticleTitleCerebrospinal fluid interleukin-6 in progressive Neuro-Behçet’s syndrome Clin Immunol Immunopathol 82 IssueID1 12–7 10.1006/clin.1996.4268 Occurrence Handle10.1006/clin.1996.4268 Occurrence Handle1:STN:280:DyaK2s7lt1Cmtg%3D%3D Occurrence Handle9000037

    Article  CAS  PubMed  Google Scholar 

  17. S Hirohata H Suda T Hashimoto (1998) ArticleTitleLow-dose weekly methotrexate for progressive neuropsychiatric manifestations in Behçet’s disease J Neurol Sci 159 IssueID2 181–5 10.1016/S0022-510X(98)00165-8 Occurrence Handle10.1016/S0022-510X(98)00165-8 Occurrence Handle1:CAS:528:DyaK1cXltFajtb8%3D Occurrence Handle9741405

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shunichi Kumagai.

About this article

Cite this article

Hatachi, S., Nakazawa, T., Morinobu, A. et al. A pediatric patient with neuro-Behçet’s disease. Mod Rheumatol 16, 321–323 (2006). https://doi.org/10.1007/s10165-006-0507-1

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10165-006-0507-1

Key words

Navigation