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Behçet's Disease and Intracardiac Thrombosis: A Report of Three Cases.

Düzgün N, Küçükşahin O, Atasoy KÇ, Togay Işıkay C, Gerede DM, Erden A, Sahap SK, Ibiş MA, Ateş A - Case Rep Rheumatol (2013)

Bottom Line: We present three patients with Behçet's disease associated with intracardiac thrombus and pulmonary vascular involvement.One of these patients had also Budd-Chiari syndrome.Behçet's disease should be remembered in the differential diagnosis of the patients with intracardiac mass, especially in patients from the Mediterranean and Middle East populations.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine-Rheumatology, Ankara University, Faculty of Medicine, Akademik Yerleşke, Sıhhıye, 06100 Ankara, Turkey.

ABSTRACT
We present three patients with Behçet's disease associated with intracardiac thrombus and pulmonary vascular involvement. One of these patients had also Budd-Chiari syndrome. All patients were treated with corticosteroid plus monthly intravenous cyclophosphamide as first line treatment and with no recurrences. Immunosuppressive therapy was successful in the treatment of intracardiac thrombus and also in the regression of pulmonary vascular thromboses in these patients. Intracardiac thrombus in Behçet's disease is rarely seen. Behçet's disease should be remembered in the differential diagnosis of the patients with intracardiac mass, especially in patients from the Mediterranean and Middle East populations.

No MeSH data available.


Related in: MedlinePlus

(a) Transthoracic echocardiography in the parasternal short-axis view shows a thrombus (arrow) in the right ventricle attached to the interventricular septum. (b) Contrast-enhanced pulmonary CT angiography shows acute embolus filling and mildly enlarging the right middle lobe artery (arrow).
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fig2: (a) Transthoracic echocardiography in the parasternal short-axis view shows a thrombus (arrow) in the right ventricle attached to the interventricular septum. (b) Contrast-enhanced pulmonary CT angiography shows acute embolus filling and mildly enlarging the right middle lobe artery (arrow).

Mentions: Echocardiography revealed a mobile mass (13 × 12 mm in size) in the right ventricle attached to the interventricular septum (Figure 2(a)).


Behçet's Disease and Intracardiac Thrombosis: A Report of Three Cases.

Düzgün N, Küçükşahin O, Atasoy KÇ, Togay Işıkay C, Gerede DM, Erden A, Sahap SK, Ibiş MA, Ateş A - Case Rep Rheumatol (2013)

(a) Transthoracic echocardiography in the parasternal short-axis view shows a thrombus (arrow) in the right ventricle attached to the interventricular septum. (b) Contrast-enhanced pulmonary CT angiography shows acute embolus filling and mildly enlarging the right middle lobe artery (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3713602&req=5

fig2: (a) Transthoracic echocardiography in the parasternal short-axis view shows a thrombus (arrow) in the right ventricle attached to the interventricular septum. (b) Contrast-enhanced pulmonary CT angiography shows acute embolus filling and mildly enlarging the right middle lobe artery (arrow).
Mentions: Echocardiography revealed a mobile mass (13 × 12 mm in size) in the right ventricle attached to the interventricular septum (Figure 2(a)).

Bottom Line: We present three patients with Behçet's disease associated with intracardiac thrombus and pulmonary vascular involvement.One of these patients had also Budd-Chiari syndrome.Behçet's disease should be remembered in the differential diagnosis of the patients with intracardiac mass, especially in patients from the Mediterranean and Middle East populations.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine-Rheumatology, Ankara University, Faculty of Medicine, Akademik Yerleşke, Sıhhıye, 06100 Ankara, Turkey.

ABSTRACT
We present three patients with Behçet's disease associated with intracardiac thrombus and pulmonary vascular involvement. One of these patients had also Budd-Chiari syndrome. All patients were treated with corticosteroid plus monthly intravenous cyclophosphamide as first line treatment and with no recurrences. Immunosuppressive therapy was successful in the treatment of intracardiac thrombus and also in the regression of pulmonary vascular thromboses in these patients. Intracardiac thrombus in Behçet's disease is rarely seen. Behçet's disease should be remembered in the differential diagnosis of the patients with intracardiac mass, especially in patients from the Mediterranean and Middle East populations.

No MeSH data available.


Related in: MedlinePlus