Atypical Vascular Involvement in a Case of Behçet's Disease

Introduction. Behçet's disease (BD) is a form of vasculitis of unknown etiology which is rare in our environment. It is characterized by a variety of clinical manifestations and usually affects young adults. Recurrent oral and genital ulcers are a characteristic and extremely frequent symptom,...

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Main Authors: Alejandro Rodríguez Morata, Ana Hidalgo Conde, Carlos de la Cruz Cosme, Susana Gómez Ramírez, Rafael Gómez Medialdea
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/848101
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author Alejandro Rodríguez Morata
Ana Hidalgo Conde
Carlos de la Cruz Cosme
Susana Gómez Ramírez
Rafael Gómez Medialdea
author_facet Alejandro Rodríguez Morata
Ana Hidalgo Conde
Carlos de la Cruz Cosme
Susana Gómez Ramírez
Rafael Gómez Medialdea
author_sort Alejandro Rodríguez Morata
collection DOAJ
description Introduction. Behçet's disease (BD) is a form of vasculitis of unknown etiology which is rare in our environment. It is characterized by a variety of clinical manifestations and usually affects young adults. Recurrent oral and genital ulcers are a characteristic and extremely frequent symptom, but mortality is linked with more significant symptoms such as aortic pseudoaneurysm, pulmonary pseudoaneurysm, and cerebral venous thrombosis. Patient and Method. We present a case of a young male with atypical BD and severe polyvascular involvement (previous cerebral venous thrombosis and current peripheral venous thrombosis, acute ischemia, and peripheral arterial pseudoaneurysm) who required urgent surgical intervention due to a symptomatic external iliac pseudoaneurysm. Result. The pseudoaneurysm was successfully treated, we performed an iliofemoral bypass, and we treated it with steroids and immunosuppressive therapy. Conclusions. These rare clinical manifestations highlight the importance of considering BD in young patients, even in usual cases of vascular intervention, whether arterial or venous in nature.
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spelling doaj-art-4da34d6c00c74487b4879a34e69429fa2025-02-03T06:12:12ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/848101848101Atypical Vascular Involvement in a Case of Behçet's DiseaseAlejandro Rodríguez Morata0Ana Hidalgo Conde1Carlos de la Cruz Cosme2Susana Gómez Ramírez3Rafael Gómez Medialdea4Department of Angiology and Vascular Surgery, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, SpainDepartment of Internal Medicine, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, SpainDepartment of Neurology, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, SpainDepartment of Internal Medicine, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, SpainDepartment of Angiology and Vascular Surgery, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, SpainIntroduction. Behçet's disease (BD) is a form of vasculitis of unknown etiology which is rare in our environment. It is characterized by a variety of clinical manifestations and usually affects young adults. Recurrent oral and genital ulcers are a characteristic and extremely frequent symptom, but mortality is linked with more significant symptoms such as aortic pseudoaneurysm, pulmonary pseudoaneurysm, and cerebral venous thrombosis. Patient and Method. We present a case of a young male with atypical BD and severe polyvascular involvement (previous cerebral venous thrombosis and current peripheral venous thrombosis, acute ischemia, and peripheral arterial pseudoaneurysm) who required urgent surgical intervention due to a symptomatic external iliac pseudoaneurysm. Result. The pseudoaneurysm was successfully treated, we performed an iliofemoral bypass, and we treated it with steroids and immunosuppressive therapy. Conclusions. These rare clinical manifestations highlight the importance of considering BD in young patients, even in usual cases of vascular intervention, whether arterial or venous in nature.http://dx.doi.org/10.1155/2012/848101
spellingShingle Alejandro Rodríguez Morata
Ana Hidalgo Conde
Carlos de la Cruz Cosme
Susana Gómez Ramírez
Rafael Gómez Medialdea
Atypical Vascular Involvement in a Case of Behçet's Disease
Case Reports in Surgery
title Atypical Vascular Involvement in a Case of Behçet's Disease
title_full Atypical Vascular Involvement in a Case of Behçet's Disease
title_fullStr Atypical Vascular Involvement in a Case of Behçet's Disease
title_full_unstemmed Atypical Vascular Involvement in a Case of Behçet's Disease
title_short Atypical Vascular Involvement in a Case of Behçet's Disease
title_sort atypical vascular involvement in a case of behcet s disease
url http://dx.doi.org/10.1155/2012/848101
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AT carlosdelacruzcosme atypicalvascularinvolvementinacaseofbehcetsdisease
AT susanagomezramirez atypicalvascularinvolvementinacaseofbehcetsdisease
AT rafaelgomezmedialdea atypicalvascularinvolvementinacaseofbehcetsdisease