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Published on: June 11, 2019
Intracardiac Thrombosis: An Uncommon Manifestation of Behçet's Disease
Rhita Ezzahraoui1, Najlaa Belharty2, Zaineb Bourouhou3
1Cardiology, Mohammed V University, Rabat, MAR.
Insights
Behçet
Area of Science:
- Cardiology
- Rheumatology
- Internal Medicine
Background:
- Behçet's disease is a chronic multisystemic vasculitis.
- It typically presents with mucocutaneous and ocular lesions.
- Cardiac involvement is a rare but severe complication.
Observation:
- A 21-year-old male presented with prolonged fever and weight loss.
- Echocardiography revealed an intracardiac thrombus.
- This occurred in the context of Behçet's disease.
Findings:
- Intracardiac thrombus is an uncommon manifestation of Behçet's disease.
- Diagnosis relies on imaging like echocardiography.
- Treatment involves immunosuppression and anticoagulation.
Implications:
- Early diagnosis of intracardiac thrombus in Behçet's disease is crucial.
- Prompt management can mitigate severe cardiac complications.
- This case highlights the importance of considering cardiac involvement in Behçet's disease patients.
Abstract:
Behçet's disease is a chronic multisystemic vasculitis of unknown etiology that evolves in relapses and remissions with a predominance of cutaneous and ocular lesions. It is more frequent in young adults, with a predominantly male population from the Mediterranean and Middle East. Cardiac involvement is rare (1 to 6%) but represents one of the most serious complications that can affect the three tunics of the heart. Cardiac thrombus is uncommon, its diagnosis relies mainly on echocardiography, and the development of the empirical treatment is based on immunosuppressive therapy and anticoagulation depending on the case. We report the case of a 21-year-old man admitted for a 2-month history of fever, loss of weight, and body condition in association with an intracardiac thrombus in the context of Behçet's disease. Intracardiac thrombus is a rare manifestation of Behçet's disease; the diagnosis must be made quickly in order to allow early management.
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