Behcet disease presenting as large and medium vessel occlusive disease

Area of Science:

• Vascular Medicine
• Rheumatology
• Radiology

Background:

• Behcet disease is a rare multisystemic inflammatory disorder.
• Vascular involvement is a common but serious complication of Behcet disease.
• Aortoiliac and renal artery aneurysms and occlusions are known manifestations.

Purpose of the Study:

• To report an uncommon presentation of Behcet disease.
• To describe a case of infrarenal aortic and bilateral renal artery thrombosis in a Behcet disease patient.
• To highlight the importance of considering Behcet disease in young patients with unexplained arterial thrombosis.

Main Methods:

• Case report.
• Computed tomography (CT) imaging was utilized for diagnosis.
• Literature review for similar presentations.

Main Results:

• A 34-year-old male with Behcet disease presented with thrombosis and occlusion of the infrarenal aorta and bilateral renal arteries.
• CT scan confirmed the extensive vascular involvement.
• This pattern of vascular compromise is highly unusual for Behcet disease.

Conclusions:

• Behcet disease can present with rare and extensive arterial thrombotic events.
• Infrarenal aorta and renal artery thrombosis is an atypical manifestation of Behcet disease.
• Early diagnosis and management are crucial to prevent severe complications.