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[Neurologic signs revealing a Behçet's disease: two pediatric case reports]
Insights
Neurologic signs, specifically cerebral venous thrombosis, can be the first indicator of Behçet's disease in children. Prompt treatment with glucocorticoids and anticoagulants led to recovery, though recurrence is possible.
Area of Science:
- Neurology
- Rheumatology
- Pediatrics
Background:
- Behçet's disease is a rare multisystem inflammatory disorder.
- Neurologic manifestations can be the initial presentation of Behçet's disease.
- Cerebral venous thrombosis (CVT) is a serious but uncommon neurologic complication.
Observation:
- Two pediatric cases of Behçet's disease initially presented with cerebral venous thrombosis (CVT).
- CVT is a rare but serious manifestation in pediatric Behçet's disease.
- Patients experienced rapid recovery following treatment.
Findings:
- Cerebral venous thrombosis can be an early indicator of Behçet's disease in pediatric patients.
- Combined therapy with glucocorticoids and anticoagulants demonstrated efficacy.
- Thrombotic recurrence was observed in one patient after three years.
Implications:
- Highlights the importance of considering Behçet's disease in the differential diagnosis of pediatric CVT.
- Emphasizes the need for vigilant monitoring for recurrent thrombosis.
- Suggests potential for improved diagnostic strategies and long-term management protocols for pediatric Behçet's disease.
Abstract
Unlabelled:
Behçet's disease can be revealed by neurologic signs.
Case Reports:
We report two pediatric cases of Behçet's disease which initially presented with cerebral venous thrombosis. Glucocorticoïds, associated with anticoagulant treatment allowed a rapid recovery. One of the children presented three years later a thrombotic recurrence.
Conclusion:
A cerebral venous thrombosis may reveal Behçet's disease.