Case Report

Behçet’s Disease, Associated Large Vessel Thrombosis, and Coexistent Thrombophilia: A Distinct Nosological Entity?

Table 2

Diagnostic criteria of the Behçet’s Disease Research Committee of Japan (2003 revision).

CriteriaDiagnosis

Major manifestations: 
(1) Recurrent oral aphthous ulceration
(2) Skin lesions
 (i) Erythema nodosum
 (ii) Subcutaneous thrombophlebitis
 (iii) Folliculitis, acne-like lesions
 (iv) Cutaneous hypersensitivity
(3) Eye lesions
 (i) Iridocyclitis
 (ii) Chorioretinitis, retinouveitis
 (iii) Definite history of chorioretinitis or retinouveitis
(4) Genital ulcers
Minor manifestations
(1) Arthritis without deformity and ankylosis
(2) Gastrointestinal lesions characterized by ileocecal ulcers
(3) Epididymitis
(4) Vascular lesions
(5) Central nervous system symptoms
(I) Complete type
Four major manifestations appear in the course of the illness.
(II) Incomplete type
 (A) Three major manifestations or 2 major and 2 minor manifestations appear in the course of the illness.
 (B) Typical ocular manifestations and one major or two minor manifestations appear in the course of the illness.
(III) Possible type
Certain major manifestations appear but do not qualify as the incomplete type and typical minor manifestations repeat or worsen.
(IV) Specific types
 (a) Intestinal-BD
 (b) Vasculo-BD
 (c) Neuro-BD
Additional assessment for reference (not mandatory)
 (i) Positive/negative pathergy test.
 (ii) Positive/negative prick test with a streptococcus vaccine.
 (iii) Inflammatory response (ESR, CRP, WBC, Complement titer).
 (iv) Positive/negative HLA-B*51. The type of HLA type should be listed.
 (v) Pathologic findings.