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Journal of Ophthalmology
Volume 2014, Article ID 820710, 8 pages
http://dx.doi.org/10.1155/2014/820710
Review Article

Gender Differences in Behçet’s Disease Associated Uveitis

1National Eye Institute, National Institutes of Health, Bethesda, MD 20892, USA
2Ophthalmology Department, Cerrahpasa Medical Faculty, Istanbul University, 34080 Istanbul, Turkey
3College of Medicine, University of South Alabama, Mobile, AL 36688, USA

Received 8 October 2013; Revised 20 March 2014; Accepted 20 March 2014; Published 23 April 2014

Academic Editor: Debra Goldstein

Copyright © 2014 Didar Ucar-Comlekoglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Behçet’s disease is a systemic vasculitis of unknown etiology, characterized by oral and genital ulceration, skin lesions, and uveitis as well as vascular, central nervous system, and gastrointestinal system involvement. It is prevalent in the Middle East, Mediterranean, and Eastern Asia. The aim of this review is to evaluate the gender differences in clinical manifestations of Behçet’s disease, treatment responses, mortality, and morbidity. Behçet’s disease has been reported to be more prevalent in males from certain geographic regions and particular ethnic groups; however, recent reports indicate more even gender distribution across the world. There are gender differences in clinical manifestations and severity of the disease. Ocular manifestations, vascular involvement, and neurologic symptoms are more frequently reported in male patients whereas oral and genital ulcers, skin lesions, and arthritis occur more frequently in female patients. The disease can have a more severe course in males, and overall mortality rate is significantly higher among young male patients.