Behçet’s Disease, Pathogenesis, Clinical Features, and Treatment Approaches: A Comprehensive Review
Salvatore Lavalle,
Sebastiano Caruso,
Roberta Foti,
Caterina Gagliano,
Salvatore Cocuzza,
Luigi La Via,
Federica Maria Parisi,
Christian Calvo-Henriquez,
Antonino Maniaci
Affiliations
Salvatore Lavalle
Faculty of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, Italy
Sebastiano Caruso
Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy
Roberta Foti
Division of Rheumatology, A.O.U. “Policlinico-San Marco”, 95123 Catania, Italy
Caterina Gagliano
Faculty of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, Italy
Salvatore Cocuzza
Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy
Luigi La Via
Department of Anaesthesia and Intensive Care, University Hospital Policlinico-San Marco, 24046 Catania, Italy
Federica Maria Parisi
Department of Medical and Surgical Sciences and Advanced Technologies “GF Ingrassia”, ENT Section, University of Catania, Via S. Sofia, 78, 95125 Catania, Italy
Christian Calvo-Henriquez
Service of Otolaryngology, Hospital Complex of Santiago de Compostela, 15701 Santiago de Compostela, Spain
Antonino Maniaci
Faculty of Medicine and Surgery, University of Enna “Kore”, 94100 Enna, Italy
Behçet’s disease is a systemic inflammatory disorder of unknown etiology. The disease manifests with diverse clinical symptoms, most commonly recurrent oral and genital ulcers, skin lesions, and uveitis, though it can affect multiple organ systems. Diagnosis is primarily clinical due to the lack of a definitive diagnostic test, and management involves a multidisciplinary approach to control inflammation and manage symptoms. Current treatment strategies involve corticosteroids, immunosuppressive agents, and, increasingly, biological therapies. Behçet’s disease exhibits a higher prevalence along the Silk Road, suggesting a role of environmental and genetic factors. Despite significant progress in understanding its clinical characteristics and treatment approaches, gaps remain in our understanding of its pathogenesis. Future research is needed to elucidate the disease’s pathophysiology and optimize treatment strategies.