Review Article

Behcet’s Disease: Is There Geographical Variation? A Review Far from the Silk Road

Table 5

Summary of recommended treatment [41, 42].

ManifestationTreatment

Mucocutaneous
MildTopical steroids
Moderate to severeInitial:
Systemic steroid
Colchicine
Refractory case:
Azathioprine
Interferon α
EyeInitial:
Systemic steroid + azathioprine
Refractory case:
(1st) Cyclosporine A + steroid + azathioprine
(2nd) Interferon α +/− systemic steroid
Arthritis(1st) Colchicine
  Nonsteroidal anti-inflammatory drug
(2nd) Azathioprine
   Interferon
Vessels
Deep venous thrombosis Azathioprine
Cyclosporine A
Cyclophosphamide (larger vessels)
Arterial aneurysm Cyclophosphamide + systemic steroid
Neurological Cyclophosphamide (drug of choice)
Cyclosporine A (contraindicated)
GastrointestinalSystemic steroid
Sulfasalazine
Azathioprine