Medicine · 2017
Multiple aneurysms and gastrointestinal involvement in Behcet's disease: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Wang Mengdi, Sun Weiwei, Chen Zhenjie, Wang Xiaona, Lv Jie, Tan Quanming, Wang Yaoxian, Zhou Jingwei
Аннотация
RATIONALE: Behcet's disease (BD) is a rare systemic vasculitis disorder that can involve vessels of any size.
PATIENT CONCERNS: A 60-year-old female had recurrent painful mouth ulcers about 30 years ago and recently presented with abdominal distension, conjunctival congestion, and chest pain in sequence.
DIAGNOSES: The patient was diagnosed with BD according to the International Criteria for Behcet's Disease (ICBD).
INTERVENTIONS: A therapy of glucocorticoids and cyclophosphamide was administered.
OUTCOMES: After a 3-month treatment, follow-up examination showed a depression of the inflammation and a slight decrease of the arterial aneurysms.
LESSONS: BD patients may get a delayed diagnosis because of the long duration between the first and subsequent manifestations. Suspect patients should be followed-up and the diagnosis of BD should be considered when multiple tissues or organs are involved.
PATIENT CONCERNS: A 60-year-old female had recurrent painful mouth ulcers about 30 years ago and recently presented with abdominal distension, conjunctival congestion, and chest pain in sequence.
DIAGNOSES: The patient was diagnosed with BD according to the International Criteria for Behcet's Disease (ICBD).
INTERVENTIONS: A therapy of glucocorticoids and cyclophosphamide was administered.
OUTCOMES: After a 3-month treatment, follow-up examination showed a depression of the inflammation and a slight decrease of the arterial aneurysms.
LESSONS: BD patients may get a delayed diagnosis because of the long duration between the first and subsequent manifestations. Suspect patients should be followed-up and the diagnosis of BD should be considered when multiple tissues or organs are involved.