European Journal of Rheumatology
Original Article

The assessment of contributing factors to oral ulcer presence in Behçet’s disease: Dietary and non-dietary factors

1.

Marmara University School of Medicine, İstanbul, Turkey

2.

Division of Rheumatology, Department of Internal Medicine, Marmara University School of Medicine, İstanbul, Turkey

3.

Department of Dermatology, Marmara University School of Medicine, İstanbul, Turkey

4.

Deparment of Health Management, Faculty of Health Sciences, Marmara University, İstanbul, Turkey

Eur J Rheumatol 2018; 5: 240-243
DOI: 10.5152/eurjrheum.2018.18094
Read: 191 Downloads: 32 Published: 03 September 2019

Abstract

 

Objective: The aim of this study was to assess the contributing factors for oral ulcer activity in Behçet’s disease (BD).


Methods
: Ninety-two patients with BD (F/M: 42/50, mean age: 38.7±10.02 years) participated in this cross-sectional study. Data regarding disease-related factors, smoking patterns, and self-reported dietary/non-dietary triggering factors for oral ulcer activity were collected by a questionnaire. Treatment protocol was categorized as mild and intensive groups associated with organ involvements.


Results
: A mild treatment protocol was more common in females (52.4% vs 20%) than in males (p=0.002). During the last three months, the number of oral ulcers in female patients was higher in the mild treatment group (6.4±6.5) than in the intensive treatment group (3.3±4.9) (p=0.045). In patients with active oral ulcers (n=63), rate of being a non-smoker was also higher in females (86.7% vs 63.6%) than in males. Daily frequency of tooth brushing was 1.2±0.8 in patients with BD, and was higher in females (1.5±0.9 vs 0.9±0.6) (p=0.001). Stress and fatigue (78.3%) were reported as the most frequent triggering factors for oral ulcer presence in patients with BD. A total of 148 different dietary factors associated with oral ulcer presence were reported in the study. 


Conclusion
: A mild treatment protocol and being a non-smoker were found to be the contributing factors associated with oral ulcer activity in patients with BD. Being motivated for oral hygiene and being non-smokers were positive health behaviors observed in females. Irrespective of gender, stress and fatigue were defined as the most common self-reported triggering factors for oral ulcer presence in BD. In addition, the roles of some dietary factors were also reported.


Cite this article as
: İris M, Özçıkmak E, Aksoy A, Alibaz-Öner F, İnanç N, Ergun T, et al. The assessment of contributing factors to oral ulcer presence in Behçet’s disease: Dietary and non-dietary factors. Eur J Rheumatol 2018; 5: 240-3.

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ISSN2147-9720 EISSN 2148-4279