Treatment for Behcets disease
What other therapies can be useful in Behcets disease?
• Arthritis: colchicine. If refractory, use corticosteroids, azathioprine, methotrexate, TNF-α antagonists. Interferon-α and sulfasalazine have also been used.
• CNS: corticosteroids, azathioprine, interferon-α, cyclophosphamide, chlorambucil, TNF-α antagonists. Do not use cyclosporine unless necessary to treat coexisting ocular disease.
• Gastrointestinal: corticosteroids, sulfasalazine, azathioprine, TNF-α antagonists.
• Vascular thromboses: corticosteroids and other immunosuppressives. Do not anticoagulate until inflammation is controlled because patients can have silent aneurysms that may rupture causing a life-threatening hemorrhage.
• Aneurysms/vasculitis: corticosteroids and cyclophosphamide. Endovascular embolization or surgery for hemorrhage.
