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[Behcet disease with cardiac and pulmonary manifestations]
F Duchêne1, S Berthier, B de Wazières
1Service des Maladies infectieuses et tropicales, Hôpital St-Jacques, Besançon.
Background:
Behçet's disease is a multisystem illness rarely including cardiac involvement. We report a case characterized by a mural cardiac mass in the right ventricle.
Case Report:
A 14-year-old boy presented with a full set of symptoms leading to the diagnosis of Behçet's disease. Echocardiography revealed a 60/120 mm mass in the right ventricle. With anticoagulation therapy, prednisone and cyclophosphamide, the cardiac lesion progressively resolved.
Discussion:
This observation is exceptional because cardiac mas is rarely described in Behçet's disease. Surgical exploration, which is usually indicated to exclude malignant process, is not necessary in such cases.