Acute renal infarction caused by Behçet's disease

Area of Science:

• Nephrology
• Vascular Medicine
• Rheumatology

Background:

• Behçet's disease is a rare multisystem inflammatory disorder.
• Renal involvement in Behçet's disease can manifest in various ways, including infarction.
• Acute renal infarction is a serious condition requiring prompt diagnosis and management.

Observation:

• A case of acute renal infarction in a young adult is presented.
• Selective renal arteriography identified multiple microaneurysms in both kidneys.
• Arterial obstruction distal to an aneurysm was noted in the left kidney.

Findings:

• The patient presented with acute renal infarction.
• Angiography revealed bilateral renal microaneurysms and arterial obstruction.
• Follow-up angiography after 5 years showed resolution of the bilateral microaneurysms.

Implications:

• Behçet's disease is a crucial consideration in the differential diagnosis of acute renal infarction, particularly in young adults.
• This case highlights the potential for vascular manifestations in Behçet's disease affecting the kidneys.
• Understanding these vascular changes is vital for accurate diagnosis and patient management.