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Arthritis in Behçet's syndrome

Departments of Radiology and Medicine, Bristol Royal Infirmary, Bristol, BS2 8HW

The clinical and radiological features of fourteen patients with Behçet's syndrome have been reviewed with particular reference to joint disease.

Thirteen patients (93%) suffered recurrent peripheral oligoor poly-arthritis, this symptom being the presenting complaint in two (14%). There were no radiographic abnormalities in peripheral joints. Ten patients (71%) complained of low back pain and in seven (50%) there was a mild erosive sacro-iliitis. Five patients (36%) had an enthesopathy (calcaneal spurs) one of whom also demonstrated vertebral body squaring. Patients with sacro-iliitis did not possess the HLA B27 antigen.

Behçet's syndrome should be entertained in the radiological differentiation of sacro-iliitis with a clinical arthropathy.

Received for publication July 1, 1982.

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