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Published on: April 15, 2021
Major arterial aneurysms and pseudoaneurysms in Behçet's disease: results from a single centre
1Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Insights
Behçet
Area of Science:
- Vascular Medicine
- Rheumatology
- Immunology
Background:
- Behçet's disease (BD) significantly increases mortality and morbidity due to arterial complications like occlusion and aneurysm rupture.
- Early identification and characterization of arterial aneurysms in BD are crucial for managing severe outcomes.
Purpose of the Study:
- To investigate the clinical features of Behçet's disease patients presenting with aneurysms and pseudoaneurysms in major arteries.
- To analyze the characteristics, treatment responses, and recurrence rates of arterial aneurysms in BD.
Main Methods:
- Retrospective review of medical records for 30 Behçet's disease patients with diagnosed arterial aneurysms or pseudoaneurysms.
- Data collected included patient demographics, aneurysm/pseudoaneurysm characteristics, laboratory findings, and treatment outcomes.
Main Results:
- 47 aneurysms/pseudoaneurysms were identified in 30 patients; 90% were unruptured.
- Symptomatic lesions occurred in 70% of patients; 33.3% had multiple lesions.
- Recurrence was noted in 16.7% of patients post-treatment.
Conclusions:
- Behçet's disease patients with major arterial aneurysms require thorough evaluation for associated thrombosis or additional aneurysmal lesions.
- Comprehensive assessment is vital for optimal management and prevention of complications in BD-related arterial disease.
Objective:
Behçet's disease (BD) with arterial involvement is closely correlated with mortality and morbidity due to life-threatening complications such as arterial occlusion and aneurysm rupture. We aimed to determine the clinical characteristics of BD patients with aneurysms and pseudoaneurysms in the major arterial systems.
Methods:
Medical records of 30 BD patients diagnosed with aneurysms or pseudoaneurysms in the major arterial systems were reviewed to determine the clinical characteristics of BD, the sites and types of arterial aneurysms or pseudoaneurysms, laboratory test results, and response to treatment.
Results:
A total of 47 aneurysms and pseudoaneurysms (32 saccular aneurysms, eight fusiform aneurysms, and seven pseudoaneurysms) were detected in 30 patients. Most aneurysms and pseudoaneurysms (27 patients, 90%) had not ruptured. Symptomatic lesions presented in 21 patients (70%), and asymptomatic lesions were incidentally detected in nine (30%). Ten of the 30 patients (33.3%) presented two or more aneurysmal lesions. Recurrence was observed in five patients (16.7%) after treatment with stent graft (n = 3), graft interposition (n = 1), or graft embolization (n = 1).
Conclusion:
We suggest that BD patients diagnosed with major arterial aneurysms should be further evaluated to detect possible associated venous or arterial thrombosis formations or aneurysmal lesions at other sites.
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