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[False aneurysm in Behçet's syndrome]

C R Canova¹, G Zünd, A Valavanis

¹Abteilung für Angiologie, Klinik für Herz- und Gefässchirurgie, Universitätsspital Zürich.

Deutsche Medizinische Wochenschrift (1946)

|February 12, 1998

Summary

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Behçet's syndrome can present primarily with vascular issues like recurrent arterial aneurysms, making diagnosis challenging. Early consideration is vital for young patients with unexplained aneurysms and a history of thrombosis.

Area of Science:

Vascular Surgery
Rheumatology
Internal Medicine

Background:

Behçet's syndrome is a rare multisystem inflammatory disorder.
Vascular manifestations, particularly aneurysms, can be a primary presentation.
A history of venous thrombosis is noted in this patient.

Observation:

A 32-year-old man presented with acute symptoms and multiple arterial aneurysms.
Computed tomography revealed a false aneurysm of the right internal carotid artery.
Recurrent aneurysms in the radial and femoral arteries were surgically treated.

Findings:

The patient exhibited Horner's syndrome, gum bulging, and paratracheal space swelling.
A diagnosis of Behçet's syndrome was confirmed by recurrent oral aphthous ulcers and folliculitis.

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The patient had a history of erythema nodosum and deep vein thrombosis.

Implications:

This case highlights the diagnostic challenge of Behçet's syndrome with predominantly vascular symptoms.
Behçet's syndrome should be considered in the differential diagnosis of recurrent arterial aneurysms in young individuals.
Early diagnosis and immunosuppressive treatment are crucial for managing vascular complications in Behçet's syndrome.