Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review
Behçet’s disease (BD) is a rare systemic vasculitis that is characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. Although neurological involvement is a known complication, ischemic stroke remains uncommon. Herein, we report a 37-year-old Kuwaiti woman who experienced recurr...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241311446 |
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| author | Anwar Albasri Wesam Gouda Faisal Alsaqabi Mahmoud M. Magdy Ashraf A. Mostafa Nehal El Ghobashy |
| author_facet | Anwar Albasri Wesam Gouda Faisal Alsaqabi Mahmoud M. Magdy Ashraf A. Mostafa Nehal El Ghobashy |
| author_sort | Anwar Albasri |
| collection | DOAJ |
| description | Behçet’s disease (BD) is a rare systemic vasculitis that is characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. Although neurological involvement is a known complication, ischemic stroke remains uncommon. Herein, we report a 37-year-old Kuwaiti woman who experienced recurrent ischemic stroke with no traditional risk factors. Imaging studies, including magnetic resonance imaging and angiography, confirmed the diagnosis of recurrent ischemic stroke and identified the underlying vasculitic changes. A detailed examination revealed a history of recurrent orogenital ulcers, leading to a diagnosis of BD. High-dose corticosteroids, azathioprine, and antiplatelet treatment were effectively used to manage her acute strokes and underlying vasculitis, thus preventing further thrombotic events. Our case report underscores the difficulties of diagnosing BD with ischemic stroke as the initial manifestation and emphasizes the importance of a multidisciplinary approach that involves rheumatologists, neurologists, and radiologists to create an effective treatment plan. Our findings also underscore the need for medical practitioners to be more knowledgeable about ischemic stroke in young patients without risk factors from endemic areas of BD, and to develop effective therapy plans. Our review of the English literature indicates that this is only the fifth report of stroke as the first presentation of BD. |
| format | Article |
| id | doaj-art-7f852c847f754dba808cdc38d94bcaed |
| institution | Kabale University |
| issn | 1473-2300 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-7f852c847f754dba808cdc38d94bcaed2025-01-29T12:03:54ZengSAGE PublishingJournal of International Medical Research1473-23002025-01-015310.1177/03000605241311446Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based reviewAnwar AlbasriWesam GoudaFaisal AlsaqabiMahmoud M. MagdyAshraf A. MostafaNehal El GhobashyBehçet’s disease (BD) is a rare systemic vasculitis that is characterized by recurrent oral and genital ulcers, uveitis, and skin lesions. Although neurological involvement is a known complication, ischemic stroke remains uncommon. Herein, we report a 37-year-old Kuwaiti woman who experienced recurrent ischemic stroke with no traditional risk factors. Imaging studies, including magnetic resonance imaging and angiography, confirmed the diagnosis of recurrent ischemic stroke and identified the underlying vasculitic changes. A detailed examination revealed a history of recurrent orogenital ulcers, leading to a diagnosis of BD. High-dose corticosteroids, azathioprine, and antiplatelet treatment were effectively used to manage her acute strokes and underlying vasculitis, thus preventing further thrombotic events. Our case report underscores the difficulties of diagnosing BD with ischemic stroke as the initial manifestation and emphasizes the importance of a multidisciplinary approach that involves rheumatologists, neurologists, and radiologists to create an effective treatment plan. Our findings also underscore the need for medical practitioners to be more knowledgeable about ischemic stroke in young patients without risk factors from endemic areas of BD, and to develop effective therapy plans. Our review of the English literature indicates that this is only the fifth report of stroke as the first presentation of BD.https://doi.org/10.1177/03000605241311446 |
| spellingShingle | Anwar Albasri Wesam Gouda Faisal Alsaqabi Mahmoud M. Magdy Ashraf A. Mostafa Nehal El Ghobashy Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review Journal of International Medical Research |
| title | Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review |
| title_full | Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review |
| title_fullStr | Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review |
| title_full_unstemmed | Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review |
| title_short | Behçet’s disease: recurrent ischemic stroke as an initial presentation – a case based review |
| title_sort | behcet s disease recurrent ischemic stroke as an initial presentation a case based review |
| url | https://doi.org/10.1177/03000605241311446 |
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