November 23, 2009
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Inflammatory mediators may signal risk of active ocular Behçet disease

Eur J Ophthalmol. 2009;19(6):999-1004.

Serum levels of inflammatory mediators may indicate which patients are at risk for active ocular involvement of Behçet disease.

According to a prospective clinical trial of 43 patients with known ocular Behçet disease, levels of interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor alpha (TNF-alpha), VEGF and malondialdehyde (MDA) were all found to be significantly higher in patients with active manifestations of Behçet disease (Group A) compared with patients with inactive Behçet disease (Group B).

Active disease was characterized by posterior uveitis, either vitritis or chorioretinal involvement.

According to the study, "serum levels of the mediators in Group A (IL-6 [23.1 pg/mL], IL-8 [161.1 pg/mL], TNF-alpha [30.5 pg/mL], VEGF [455.9 pg/mL], MDA [10.7 µm]) were found to be significantly higher than those in Group B (IL-6 [12.2 pg/mL], IL-8 [48.4 pg/mL], TNF-alpha [18.6 pg/mL], VEGF [138.0 pg/mL], MDA [5.1 µm])."