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Intracardiac thrombus (ICT) is a rare complication of Behçet's disease (BD). This study found that ICT in BD patients often presents with respiratory symptoms and can involve other cardiovascular issues, responding to combined immunosuppressive therapy.

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Area of Science:

  • Cardiology
  • Rheumatology
  • Internal Medicine

Background:

  • Behçet's disease (BD) is a multisystem inflammatory disorder.
  • Intracardiac thrombus (ICT) is an uncommon but significant complication of BD.
  • This study investigates the clinical characteristics and management of ICT in BD patients.

Observation:

  • Eight male patients with BD were diagnosed with ICT, with a mean age of 30.8 years.
  • Common presenting symptoms included hemoptysis, chest pain, and dyspnea.
  • Associated conditions included pulmonary artery aneurysm, vena cava thrombosis, pulmonary embolism, and deep vein thrombosis.

Findings:

  • Echocardiography was sufficient for ICT diagnosis.
  • Chest CT identified pulmonary vasculo-Behçet lesions in 4 cases.
  • Five out of eight patients achieved clinical remission and ICT resolution with treatment.

Implications:

  • Combined immunosuppressive therapy, particularly prednisone and cyclophosphamide, may be crucial for managing ICT in BD.
  • Early diagnosis and comprehensive treatment are essential for improving outcomes in BD patients with ICT.
  • Further research is warranted to elucidate the pathogenesis and optimize treatment strategies for ICT in BD.