Background: There is no definite treatment for Behcet's disease. New d
rugs are being evaluated in cases unresponsive to conventional treatme
nt modalities. Objective: In this study we investigated the efficacy o
f interferon alfa-2a on skin lesions in 18 Behcet's disease patients w
ho had predominantly mucocutaneous involvement. Methods: Eighteen pati
ents with Behcet's disease were treated with interferon alfa-2a at 3 m
illion IU/day in the first week (three times a week), 6 million IU/day
in the second week (three times a week), 9 million IU/day in the thir
d week and thereafter (three times a week), Interferon alfa-2a was adm
inistered subcutaneously for a total of 12 weeks, Results: At the end
of the treatment the efficacy of the drug was found to be good in 9 pa
tients and very good in 7 patients, Interferon alfa-2a is particularly
effective in skin manifestations such as genital ulceration and eryth
ema-nodosum-like lesions. It was also found to be effective in systemi
c manifestations such as fever, diarrhea and eye involvement. Conclusi
on: Our results indicate that interferon alfa-2a is a promising drug i
n the treatment of Behcet's disease.