JLE

Médecine et chirurgie du pied

MENU

Foot joint involvement in Behçet's disease Volume 22, issue 4, Décembre 2006

Authors

Purpose:

To study the clinical involvement of the foot and ankle during Behçet disease (BD) and to seek the radiological signs.

Patients and methods:

Fifty six patients, fourteen women and 42 men, who have BD (criteria of international study group for Behçet's disease), were recruited by the means of the external consultations of rheumatology and internal medicine. The average age was 41.46 ± 13.35 years (14-83 years). They were questioned by a rheumatologist on the various manifestations of the BD and especially on articular one. The examination of the feet sought a pain with palpation, a swelling, a synovitis, an erythema, an increase in heat, a reduction in articular mobility and/or deformations. Radiographies of the feet (face and 3/4) and ankles (face and profile) and the sacroiliac joints were requested from each one of them. Twenties carried out these examinations which were analyzed by the same radiologist.

Results:

Nineteen of patients presented in their antecedents at least a push of arthritis. Thirty two (57.1%) present in their history of disease arthralgia, 19 (33.9%) had joint pains of the feet. Twenty two (39.3%) patient had arthralgia of the ankles. A pain of ankle and/or of the foot without arthritis was noted in 25 cases (44.6%). Four patients presented at the time of the examination the inflammatory clinical signs of the foot. Three patients presented deformations. Radiographies showed lesions in 57.1% of the cases. A sacroiliitis was noted at 15% of the patients.

Conclusion:

Erosive peripheral arthritis is uncommon in BD. It should be diagnosed if there is a history of joint manifestations.