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zl
c, H Saymanb, M Meliko
lua, R Tunça, S Yurdakula, H Yaz
c
a
a Department
of Rheumatology, Cerrahpa
a Medical Faculty, Istanbul, Turkey, b Department of Nuclear Medicine, Cerrahpa
a
Medical Faculty, c Ye
ilyurt State Hospital, Izmir, Turkey
Correspondence to: Dr Izzet Fresko,
Ye
ildirek, Tarakçi Cafer Sok, Hamarat Aykin Han 16, Istanbul,
Turkey 34430 freskoi{at}superonline.com
Accepted for publication 29 May 2000
OBJECTIVE
To measure
the intestinal permeability in patients with Behçet's syndrome (BS)
and to compare the results with those obtained from healthy and
diseased controls.
METHOD
The study
group comprised 34 patients with BS without known gastrointestinal
disease. Ten patients with ankylosing spondylitis (AS), 6 with
inflammatory bowel diseases (IBD), 17 with systemic lupus erythematosus
(SLE), and 15 healthy subjects (HC) constituted the controls. All
patients received 100 µCi (3.7 MBq) of chromium-51 EDTA
(51Cr-EDTA) as a radioactive tracer after a 72 hour
abstinence from all drugs. The percentage of the isotope excreted in a
24 hour urinary specimen was the measure of permeability.
RESULTS
The
percentage (SD) rate of excretion of 51Cr-EDTA was 4.6 (2.6) in BS, 6 (2.4) in AS, 5.2 (1.9) in IBD, 5.56 (1.78) in SLE, and
2.3 (1) in healthy controls. (Analysis of variance: f=6.4, p=0.0002. BS
v HC, AS v
HC, SLE v HC
significant.)
CONCLUSION
The
intestinal permeability in BS was significantly more than that seen
among the healthy controls. Similar results in all the diseased
controls cast doubt on its specificity.
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