In this endemic paediatric cohort, ICBD demonstrated superior sensitivity, while ISG and PEDBD classified only half of cases. Morbidity was driven by neurovascular events and, less frequently, posterior-segment ocular disease. Findings support an ICBD-anchored approach with co-reporting of ISG/PEDBD for comparability. Low-threshold neuro-ophthalmic evaluation and timely steroid-sparing escalation are critical for sight/central nervous system-threatening disease. Targeted vascular imaging and adherence-focused adolescent care remain priorities.
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Burcu Bozkaya Yücel
Şeyda Doğantan
Ömer ÇELİK
RMD Open
Ondokuz Mayıs University
Acıbadem University
Samsun University
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Yücel et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69b2581996eeacc4fcec7604 — DOI: https://doi.org/10.1136/rmdopen-2025-006514