What is Behcets Disease

Behçet's disease (also known as Adamantiades-Behçet's disease), is a chronic condition due to disturbances in the body’s immune system. This system, which normally protects the bod...

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Discussion:
Intro -treatment
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Hi
I just joined today. I am in the process fo being diagnosed with Behcet's and feel somewhat bewildered. I would love to talk to others with this disease and find out more about it. At the moment I have Arthritis in my elbow, knees and ancle. Also have painful ulcers. I am taking 15 mg of prednisolone. Was taking 10 mg but was not working so dose was increased to 15 mg two days ago.

Would like to know what treatment you are on and how effective it is.
regards
gillytyler
Posted on 08/19/09, 08:08 pm
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Reply #1 - 08/20/09  10:43pm
" Hi Gilly,

I am Heather, and I hope we can build up new people here in the Behcet's forum!

I am newly diagnosed in the last 4 months, after a year of hell. It is frustrating to have a disorder so rare, it can feel alienating.

I had severe swelling/arthritis as well, which actually I am now told is not usually a prominent symptom of Behcet's. I have had the ulcers, horrible mouth ulcers, but none since I started treatment.

Because my symptoms had gotten so severe, I was started on Enbrel as my first medication. I lost 60 pounds in the last year due to this disease!

I am currently on Enbrel, and Norvasc (as I also have moderate Raynauds and vasculitis). He just added two weeks of prednisone (my rheumie is very anti-prednisone) but I am continuing with severe muscle pain despite significant improvement in my joing symptoms.

So far, with two months of Enbrel, I have had a significant improvement in my joint pain and swelling, have gained back 12 pounds, had good resolution of my ulcers(primary Erythema, the red "knots").

I am continuing with severe pain, stiffness, and redness, as well as fatigue. Since I am on the "consided" heaviest artillery medication (other than Remicade), I am hoping as my MD says that things will still get better.

I have had only minor luck with treating the Raynauds, have tried the Norvasc, Calan, and Nitro-gel.

Try to keep painkillers for once in a while. I am a nurse, still working and desperately want to keep it that way, but it is a daily battle! I know this is long, just so glad to see someone new on this page. Feel free to add me as a friend, and to contact me for support/questions. "
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Reply #2 - 08/21/09  9:01pm
" Hi Heather
Thank you for your reply. I am just in the beginning stages of being diagnosed and expect it will be a long road to a firm diagnosis. The doctor talked about starting me on Methotrexate at my next visit which will be 5 weeks away. I have both mouth and genital ulcers but they do not worry me as much as the arthritis. Fortunately the arthritis is bearable during the day , most painful and stiff in the morning and evening. I will look up the medications you mentioned.

It is really nice to meet you and talk to you. I feel a little overwhelmed at this stage but believe that knowledge is key in coping with rare diseases.

I had my colon removed 4 months ago for what was thought to be ulcerative colitis. It was supposed to fix my problems but once I went off the prednisolone the symptoms of Behcet's appeared.
Thank you for sharing your story
Gilly "
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Reply #3 - 08/22/09  12:31am
" Gilly, so glad you are here! MTX is considered the "front-line" Bechets treatment. I hope it works for you. Because my Rheumie felt I needed the heavy stuff right off, I may never know if the lighter treatments would have helped. I would have preferred trying them, as this medication carries a greater risk of cancer for which my MDs no longer want me on birth control. I wish us ALL the best in even getting diagnosed - as for me, like I said, it has taken many MDs who thought I was a hypochondriac to get here, I am so thankful in some ways to have a "diagnosis", albeit one so rare!

((((HUGS)))

Heather "
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Reply #4 - 10/05/09  12:42pm
" Hi Gilly!
I was diagnosed with BD May 2008 but had symptoms for about a year before. I have been in a constant flare since then and am on lots of Prednisone. They tried Imuran for a while but i was not able to ween off steroids as my ulcers were so bad. Now I too am starting Methotrexate. I have done 4 injections now. It is OK but I do get pretty bad headaches and trouble sleeping for the first 2 days after the injection. My rheumie wants to see if this will work before I go on Enbrel like Heather.
Interesting about your colon. I had a colonscopy last year and had ulcers in the colon that the GI specialist attributed to Behcets. The American Behcets Association has a great website and support at: www.behcets.com
I hope all goes well. "
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Reply #5 - 10/06/09  9:39pm
" hi Tiffrich
The doctors are undecided between Crohns and Behcet's because my symptoms - mouth ulcers, genital ulcers, bowel ulcers, arthritis and eye problems can occur in both conditions. I don't care, all I want is some treatment. I have tried Imuran and 6MP but my body couldn't tolerate either. Everyone seems to hate prednisolone (or prednisone) but I would rather be on it than suffer in pain. Hope the Methotrexate works well for you.
Regards Gilly "

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