Multiple aneurysms and gastrointestinal involvement in Behcet's disease: A case report

Area of Science:

• Rheumatology
• Internal Medicine
• Vascular Medicine

Background:

• Behcet's disease (BD) is a rare systemic vasculitis affecting various vessel sizes.
• Delayed diagnosis is common due to the long interval between initial and subsequent manifestations.

Observation:

• A 60-year-old female presented with a 30-year history of recurrent oral ulcers, followed by abdominal distension, conjunctival congestion, and chest pain.
• The patient was diagnosed with BD based on the International Criteria for Behcet's Disease (ICBD).

Findings:

• Treatment with glucocorticoids and cyclophosphamide led to reduced inflammation.
• A slight decrease in arterial aneurysms was observed after 3 months of therapy.

Implications:

• Prompt diagnosis of Behcet's disease requires considering multi-system involvement.
• Close follow-up of suspect patients is crucial for effective management and improved outcomes in BD.