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Published in: Diseases of the Colon & Rectum 12/2006

01-12-2006

Anti-Saccharomyces cerevisiae Antibody in Intestinal Behçet’s Disease Patients: Relation to Clinical Course

Authors: Chang Hwan Choi, M.D., Tae Il Kim, M.D., Byung Chang Kim, M.D., Sung Jae Shin, M.D., Sang Kil Lee, M.D., Won Ho Kim, M.D., Hyon Suk Kim, M.D.

Published in: Diseases of the Colon & Rectum | Issue 12/2006

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Purpose

This study was designed to assess anti-Saccharomyces cerevisiae antibody positive rate in Behçet’s disease and intestinal Behçet’s disease and to evaluate whether anti-Saccharomyces cerevisiae antibody expression is associated with clinical findings at diagnosis and clinical course of intestinal Behçet’s disease.

Methods

One hundred six patients with intestinal Behçet’s disease, 30 patients with Behçet’s disease, and 45 healthy control subjects were included. Anti-Saccharomyces cerevisiae antibody was detected by indirect immunofluorescence assay. According to anti-Saccharomyces cerevisiae antibody expression, the various parameters at diagnosis, cumulative relapse rates, and cumulative probabilities of operation were analyzed.

Results

Anti-Saccharomyces cerevisiae antibody positive rate was 44.3 percent in intestinal Behçet’s disease, 3.3 percent in Behçet’s disease, and 8.8 percent in healthy control subjects. In patients with intestinal Behçet’s disease, age, gender, distribution of Behçet’s disease subtype, symptoms, laboratory tests, and colonoscopic findings at diagnosis were not different according to anti-Saccharomyces cerevisiae antibody expression. Cumulative probability of a first operation was significantly higher in anti-Saccharomyces cerevisiae antibody (+) intestinal Behçet’s disease than in anti-Saccharomyces cerevisiae antibody (−) intestinal Behçet’s disease: 44.8 and 17.2 percent at one year, and 53 and 24.3 percent at two years after diagnosis, respectively (P = 0.006). The number of patients who underwent two or more operations was higher in anti-Saccharomyces cerevisiae antibody (+) intestinal Behçet’s disease than in anti-Saccharomyces cerevisiae antibody (−) intestinal Behçet’s disease (21.3 vs. 8.5 percent). The cumulative relapse rates were not different between the two groups.

Conclusions

Anti-Saccharomyces cerevisiae antibody positive rate was 44.3 percent in intestinal Behçet’s disease. Clinical findings at diagnosis and cumulative relapse rates of intestinal Behçet’s disease were not found to be associated with anti-Saccharomyces cerevisiae antibody expression. However, patients with anti-Saccharomyces cerevisiae antibody (+) intestinal Behçet’s disease were more likely to receive surgical treatment.
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Metadata
Title
Anti-Saccharomyces cerevisiae Antibody in Intestinal Behçet’s Disease Patients: Relation to Clinical Course
Authors
Chang Hwan Choi, M.D.
Tae Il Kim, M.D.
Byung Chang Kim, M.D.
Sung Jae Shin, M.D.
Sang Kil Lee, M.D.
Won Ho Kim, M.D.
Hyon Suk Kim, M.D.
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 12/2006
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-006-0706-z

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