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Pseudotumeur cardiaque révélant une maladie de Behçet

Intracardiac thrombosis is a rare complication of Behçet’s disease (BD), which may manifest as intracardiac tumor. In half of cases, its detection precedes the diagnosis of MB. High mortality rates may be related to post-surgical complications and/or pulmonary arteries involvement. We report the cas...

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Detalles Bibliográficos
Autores principales: Nya, Fouad, Abdou, Abdessamad, Bamous, Mehdi, Moutakiallah, Younes, Atmani, Noureddine, Seghrouchni, Aniss, Houssa, Mahdi Ait, Boulahya, Abdellatif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429457/
https://www.ncbi.nlm.nih.gov/pubmed/28533874
http://dx.doi.org/10.11604/pamj.2017.26.151.11478
Descripción
Sumario:Intracardiac thrombosis is a rare complication of Behçet’s disease (BD), which may manifest as intracardiac tumor. In half of cases, its detection precedes the diagnosis of MB. High mortality rates may be related to post-surgical complications and/or pulmonary arteries involvement. We report the case of a 29-year old young patient, with a previous history of bipolar aphthosis, who underwent surgery after the detection of right atrium and ventricle tumor. Anatomo-pathological examination showed thrombus and MB was diagnosed in the postoperative period. Patient’s evolution was favorable under medical treatment based on corticosteroids, colchicine and vitamin K antagonists (AVK). The detection of intracardiac mass in a young subject should suggest the diagnosis of cardiac thrombus and Behçet’s disease, even in the absence of ethnic or geographical risk factors.