Une manifestation exceptionnelle de la maladie de Behçet: la thrombose du ventricule gauche (à propos d’un cas)

Intracardiac thrombus is an exceptional complication revealing Behçet’s disease. We here report the case of a 48-year-old patient admitted with stroke. Clinical examination showed recurrent oral aphthous ulcers. Cardiovascular examination was normal, magnetic resonance imaging (MRI) objectified left...

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Detalles Bibliográficos
Autores principales: Berrajaa, Mehdi, El Meghraoui, Hicham, Ofkire, Mohamed, El Ouafi, Noha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10362661/
https://www.ncbi.nlm.nih.gov/pubmed/37484586
http://dx.doi.org/10.11604/pamj.2023.44.200.12844
Descripción
Sumario:Intracardiac thrombus is an exceptional complication revealing Behçet’s disease. We here report the case of a 48-year-old patient admitted with stroke. Clinical examination showed recurrent oral aphthous ulcers. Cardiovascular examination was normal, magnetic resonance imaging (MRI) objectified left posterior parietal stroke. Transthoracic echocardiogram showed totally thrombosed apical aneurysm measuring 42mm/36mm. Total-body computed tomography (CT) scan was performed to detect other abnormalities. It was normal apart from cardiac involvement. The diagnosis of Behçet’s disease was made based on oral aphthous ulcers, polyarteritis nodosa and thrombosed left ventricular aneurysm. Outcome was favorable under medical treatment combining anticoagulants, corticosteroids and immunosuppression.

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