Coronary artery ectasia in a patient with Behcet's disease

Area of Science:

• Cardiology
• Rheumatology
• Vascular Medicine

Background:

• Behcet's disease is a multisystemic inflammatory condition of unknown cause.
• Common manifestations include oral/genital ulcers, skin lesions, and ocular inflammation.
• Arterial involvement is an uncommon but serious complication.

Observation:

• Arterial involvement typically affects the aorta and pulmonary arteries.
• Coronary artery complications are rarely reported in Behcet's disease.
• A 36-year-old female with a 6-year history of Behcet's disease presented with left main coronary artery ectasia.

Findings:

• The patient's presentation of left main coronary artery ectasia is an unusual vascular manifestation of Behcet's disease.
• This case adds to the limited literature on coronary involvement in Behcet's disease.

Implications:

• Highlights the importance of considering rare vascular complications in Behcet's disease patients.
• Suggests the need for increased surveillance for coronary artery abnormalities in affected individuals.
• Contributes to understanding the diverse spectrum of vascular pathology in Behcet's disease.