J Korean Med Sci.  2007 Jun;22(3):387-392. 10.3346/jkms.2007.22.3.387.

Intima-media Thickness and Arterial Stiffness of Carotid Artery in Korean Patients with Behcet's Disease

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, College of Medicine, Dongguk University, Gyeongju, Korea.
  • 2Chang Hyun Kyu Rheumatism Clinic, Cheonan, Korea.
  • 3Division of Rheumatology, Department of Internal Medicine, College of Medicine, Dankook University, Cheonan, Korea. kimsk714@cu.ac.kr

Abstract

Behcet's disease (BD) is a systemic vasculitis involving diverse sizes of arteries and veins. We performed this study to evaluate the vascular changes by assessment of the arterial stiffness and intima-media thickness (IMT) of carotid artery in Korean patients with BD. Forty-one patients with BD and age-, and sex-matched 53 healthy subjects were recruited in this study. Carotid arterial stiffness and IMT were assessed by using high-resolution B-mode ultrasonography. Arterial stiffness parameters such as carotid arterial distensibility coefficient, stiffness index, and incremental elastic modulus (E(inc)) were significantly increased in BD patients compared with those in healthy subjects, but not in IMT. Positive relationship was noted between age and IMT, whereas age of onset was significantly associated with arterial stiffness in BD. This finding suggests impaired endothelial function before visible structural changes of arterial wall in BD. Age and age of onset may be an independent risk factor for carotid IMT and arterial stiffness, respectively. Further studies in more large populations are required to confirm our results.

Keyword

Arterial Stiffness; Intima-media Thickness; Carotid Artery; Behcet's Disease

MeSH Terms

Adolescent
Adult
Age Factors
Arteries/pathology
Behcet Syndrome/*diagnosis/*pathology
Carotid Arteries/*pathology
Carotid Artery Diseases/pathology
Case-Control Studies
Female
Humans
Korea
Male
Middle Aged
Tunica Intima/pathology
Tunica Media/pathology

Cited by  1 articles

Evaluation of Arterial Stiffness in Patients with Behçet's Disease by Using Noninvasive Radiological Methods such as Intima-Media Thickness of the Carotid, Ankle-Brachial Pressure Index, Coronary Artery Calcium Scoring, and Their Relation to Serum Fetuin-A Levels: A Case-Control Study
Belkız Uyar, Aynur Solak, Berhan Genç, Muhittin Akyıldız, Neslin Şahin, İhsan Sami Uyar, Ali Saklamaz
Ann Dermatol. 2015;27(6):702-708.    doi: 10.5021/ad.2015.27.6.702.


Reference

1. Sakane T, Takeno M, Suzuki N, Inaba G. Behcet's disease. N Engl J Med. 1999. 341:1284–1291.
2. Kural-Seyahi E, Fresko I, Seyahi N, Ozyazgan Y, Mat C, Hamuryudan V, Yurdakul S, Yazici H. The long-term mortality and morbidity of Behcet syndrome: a 2-decade outcome survey of 387 patients followed at a dedicated center. Medicine (Baltimore). 2003. 82:60–76.
3. Jorizzo JL, Abernethy JL, White WL, Mangelsdorf HC, Zouboulis CC, Sarica R, Gaffney K, Mat C, Yazici H, al Ialaan A, Assad-Khalil SH, Kaneko F, Frederick Jorizzo EA. Mucocutaneous criteria for the diagnosis of Behcet's disease: an analysis of clinicopathologic data from multiple international centers. J Am Acad Dermatol. 1995. 32:968–976.
4. Hampton KK, Chamberlain MA, Menon DK, Davies JA. Coagulation and fibrinolytic activity in Behcet's disease. Thromb Haemost. 1991. 66:292–294.
5. Ozoran K, Dugun N, Gurler A, Tutkak H, Tokgoz G. Plasma von Willebrand factor, tissue plasminogen activator, plasminogen activator inhibitor, and antithrombin III levels in Behcet's disease. Scand J Rheumatol. 1995. 24:376–382.
6. Chambers JC, Haskard DO, Kooner JS. Vascular endothelial function and oxidative stress mechanisms in patients with Behcet's syndrome. J Am Coll Cardiol. 2001. 37:517–520.
7. Haznedaroglu IC, Ozcebe OI, Ozdemir O, Celik I, Dundar SV, Kirazli S. Impaired haemostatic kinetics and endothelial function in Behcet's disease. J Intern Med. 1996. 240:181–187.
8. Joannides R, Haefeli WE, Linder L, Richard V, Bakkali EH, Thuillez C, Luscher TF. Nitric oxide is responsible for flow-dependent dilatation of human peripheral conduit arteries in vivo. Circulation. 1995. 91:1314–1319.
Article
9. Wilkinson IB, Qasem A, McEniery CM, Webb DJ, Avolio AP, Cockcroft JR. Nitric oxide regulates local arterial distensibility in vivo. Circulation. 2002. 105:213–217.
Article
10. Kinlay S, Creager MA, Fukumoto M, Hikita H, Fang JC, Selwyn AP, Ganz P. Endothelium-derived nitric oxide regulates arterial elasticity in human arteries in vivo. Hypertension. 2001. 38:1049–1053.
Article
11. Simons PC, Algra A, Bots ML, Grobbee DE, van der Graaf Y. Common carotid intima-media thickness and arterial stiffness: indicators of cardiovascular risk in high-risk patients. The SMART Study (Second Manifestations of ARTerial disease). Circulation. 1999. 100:951–957.
12. Bots ML, Hofman A, De Jong PT, Grobbee DE. Common carotid intima-media thickness as an indicator of atherosclerosis at other sites of the carotid artery. The Rotterdam Study. Ann Epidemiol. 1996. 6:147–153.
Article
13. Hingorani AD, Cross J, Kharbanda RK, Mullen MJ, Bhagat K, Taylor M, Donald AE, Palacios M, Griffin GE, Deanfield JE, MacAllister RJ, Vallance P. Acute systemic inflammation impairs endothelium-dependent dilatation in humans. Circulation. 2000. 102:994–999.
Article
14. Ridker PM, Cushman M, Stampfer MJ, Tracy RP, Hennekens CH. Inflammation, aspirin, and the risk of cardiovascular disease in apparently healthy men. N Engl J Med. 1997. 336:973–979.
Article
15. International Study Group for Behcet's Disease (ISGBD). ISGBD): Criteria for diagnosis of Behcet's disease. Lancet. 1990. 335:1078–1080.
16. Kim JU, Chang HK, Lee SS, Kim JW, Kim KT, Lee SW, Chung WT. Endothelial nitric oxide synthase gene polymorphisms in Behcet's disease and rheumatic diseases with vasculitis. Ann Rheum Dis. 2003. 62:1083–1087.
Article
17. Touboul PJ, Vicaut E, Labreuche J, Belliard JP, Cohen S, Kownator S, Pithois-Merli I. Paroi Arterielle et Risque Cardiovasculaire Study Investigators. Design, baseline characteristics and carotid intima-media thickness reproducibility in the PARC study. Cerebrovasc Dis. 2005. 19:57–63.
Article
18. Jourdan C, Wuhl E, Litwin M, Fahr K, Trelewicz J, Jobs K, Schenk JP, Grenda R, Mehls O, Troger J, Schaefer F. Normative values for intima-media thickness and distensibility of large arteries in healthy adolescents. J Hypertens. 2005. 23:1707–1715.
Article
19. Henry RM, Kostense PJ, Spijkerman AM, Dekker JM, Nijpels G, Heine RJ, Kamp O, Westerhof N, Bouter LM, Stehouwer CD. Arterial stiffness increases with deteriorating glucose tolerance status: the Hoorn Study. Circulation. 2003. 107:2089–2095.
20. Kayikcioglu M, Aksu K, Hasdemir C, Keser G, Turgan N, Kultursay H, Doganavsargil E. Endothelial functions in Behcet's disease. Rheumatol Int. 2006. 26:304–308.
21. Alan S, Ulgen MS, Akdeniz S, Alan B, Toprak N. Intima-media thickness and arterial distensibility in Behcet's disease. Angiology. 2004. 55:413–419.
22. Keser G, Aksu K, Tamsel S, Ozmen M, Kitapcioglu G, Kabaroglu C, Killi R, Bayindir O, Doganavsargil E. Increased thickness of the carotid artery intima-media assessed by ultrasonography in Behcet's disease. Clin Exp Rheumatol. 2005. 23:Suppl 38. 71–76.
23. Bang D, Lee JH, Lee ES, Lee S, Choi JS, Kim YK, Cho BK, Koh JK, Won YH, Kim NI, Park SD, Ahn HJ, Lee YW, Wang HY, Lee WW, Eun HC, Song ES, Lee SW, Lee CW, Lee CJ, Park JH, Song YW, Kim ST, Kim CY, Park JK, Kwon KS. Epidemiologic and clinical survey of Behcet's disease in Korea: the first multicenter study. J Korean Med Sci. 2001. 16:615–618.
24. Chang HK, Kim SK, Lee SS, Rhee MY. Arterial stiffness in Behcet's disease: increased regional pulse wave velocity values. Ann Rheum Dis. 2006. 65:415–416.
Article
25. Koc Y, Gullu I, Akpek G, Akpolat T, Kansu E, Kiraz S, Batman F, Kansu T, Balkanci F, Akkaya S, Telatar H, Zileli T. Vascular involvement in Behcet's disease. J Rheumatol. 1992. 19:402–410.
26. Sarica-Kucukoglu R, Akdag-Kose A, KayabalI M, Yazganoglu KD, Disci R, Erzengin D, Azizlerli G. Vascular involvement in Behcet's disease: a retrospective analysis of 2319 cases. Int J Dermatol. 2006. 45:919–921.
Article
27. Rohani M, Jogestrand T, Ekberg M, van der Linden J, Kallner G, Jussila R, Agewall S. Interrelation between the extent of atherosclerosis in the thoracic aorta, carotid intima-media thickness and the extent of coronary artery disease. Atherosclerosis. 2005. 179:311–316.
Article
28. Graner M, Varpula M, Kahri J, Salonen RM, Nyyssonen K, Nieminen MS, Taskinen MR, Syvanne M. Association of carotid intima-media thickness with angiographic severity and extent of coronary artery disease. Am J Cardiol. 2006. 97:624–629.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr