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.
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References
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
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
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
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
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
JD O’Duffy (1994) ArticleTitleBehçet’s disease Curr Opin Rheumatol 6 IssueID1 39–43 Occurrence Handle10.1097/00002281-199401000-00007 Occurrence Handle8031678
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
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
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
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
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
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
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
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
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
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
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
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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
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DOI: https://doi.org/10.1007/s10165-006-0507-1