1. Association of Large Vessel Aneurysm/Pseudo-Aneurysm/Aortitis and Deep Vein Thrombosis in Patients with Behçets Disease: A Case Report
- Author
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Shenavandeh, Saeedeh, Johari, Hamed Ghoddusi, and Aflaki, Elham
- Abstract
Background: Behçets disease (BD) is a complex vasculitis with some vascular manifestationsincluding venous thrombosis, arterial thrombosis/aneurysm/pseudoaneurysm, and co-associatedvenous thrombosis and arterial lesions. We present two patients with Behçets disease camewith progressive both arterial and venous involvement. Case Presentation: The first patient was a young man with recurrent oral aphthosis and skin folliculitisand referred with complaint of new abdominal pain and 2 months severe headache. He hadnot referred to a physician due to COVID-19 pandemic until that time. In addition, he gradually developeda lower extremity edema and eventually was diagnosed with BD complicated with brainsagittal sinus vein thrombosis, abdominal aortic aneurysms and aortitis and deep vein thrombosis(DVT) of femoral vein. The second patient was a young woman with previous history of uveitis,DVT and recurrent oral and genital aphthosis presented with a large inguinal mass due to large iliacartery pseudoaneurysm impending to rupture, and after the operation, due to poor follow-up, developeda new femoral DVT. Conclusion: It seems the same inflammatory process is responsible for arterial and venous involvementin patients with BD, so it should be considered that involvement in one side (venous/arterial)can be a risk factor for the other side (venous/arterial) and early immunosuppressive treatmentshould always be considered to improve the prognosis.
- Published
- 2022
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