Recurrent epididymo-orchitis in patients with Behcet's disease

Virginia G. Kaklamani, George Vaiopoulos, Nicolaos Markomichelakis, Phaedon Kaklamanis

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Purpose: We study the clinical features of epididymo-orchitis in patients with Behcet's disease. Materials and Methods: Of 57 men with Behcet's disease 7 had epididymo-orchitis during the course of disease. A questionnaire was applied to all cases and the clinical features were recorded. HLA class I was determined and a pathergy test was performed. Results: All 7 patients fulfilled the international study group criteria for Behcet's disease. All patients had recurrent oral ulcers, skin lesions (folliculitis, erythema nodosum-like lesions) and uveitis, and 6 had recurrent genital ulcers, 2 arthritis, 1 vasculitis and 4 central nervous system involvement. The pathergy test was positive in 4 patients and all had B5(51). The allele B5101 was present in 6 patients and 1 had B5102. Recurrences were observed in 5 patients. Concurrent symptoms with epididymo- orchitis consisted of oral ulcers, fever, uveitis, arthritis and penile ulcer. Colchicine, glucocorticoids, nonsteroidal anti-inflammatory drugs and cyclosporine were administered. Conclusions: Epididymo-orchitis in patients with Behcet's disease is not as infrequent as believed. It was not the first manifestation of the disease but developed during followup. In any patient with epididymo-orchitis Behcet's disease should be considered, particularly in regions with a high prevalence of the disease.

Original languageEnglish (US)
Pages (from-to)487-489
Number of pages3
JournalJournal of Urology
Volume163
Issue number2
DOIs
StatePublished - Feb 2000
Externally publishedYes

Keywords

  • Behcet's syndrome
  • Clinical features
  • Epididymitis
  • Orchitis

ASJC Scopus subject areas

  • Urology

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