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A case of Behçet's disease with superior and inferior vena caval occlusion.

Yoo WH, Moon JS, Kim SI, Kim WU, Min JG, Park SH, Lee SH, Cho CS, Kim HY - Korean J. Intern. Med. (1998)

Bottom Line: Behçet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis.A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion.Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Medical College, Catholic University of Korea.

ABSTRACT
Behçet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis. A case of BD with large vein thrombosis involving superior and inferior vena cava is presented. Large vein thrombosis in BD is not commonly developed and most commonly observed in the inferior or superior vena cava. A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion. Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.

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Related in: MedlinePlus

Venography of left lower extremity. Left iliac vein is obliterated and multiple collateral veins (arrow) are shown.
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f1-kjim-13-2-136-12: Venography of left lower extremity. Left iliac vein is obliterated and multiple collateral veins (arrow) are shown.

Mentions: A 26-year-old woman was admitted for dyspnea, coughing and generalized edema for the last 5 months. She had a symptoms complex of recurrent oral aphtous ulcer, genital ulcer, erythema nodosum like skin lesions, uveitis and positive Pathergy test, and was diagnosed to have BD according to the diagnostic criteria proposed by the International Study Group for Behçet’s disease5). She gave no history of smoking, consumption of alcohol or any drugs. Two years ago, bypass surgery was performed due to deep vein thrombosis of left lower extremity (Fig. 1, 2). At that time, she did not follow-up and was not prescribed for any medication. On physical examination, the patient was uncomfortable and slightly pale. She became dyspneic on supine for the examination. No rash or lymphadenopathy was found. There was marked edema over the face, neck, both shoulders, anterior chest and lower extremities. Also, collateral vessels formation in the anterior chest wall and abdomen were noticed. Diminished breath sounds were present over both lung fields. The abdomen was distended and non-tender, but a fluid wave and shifting dullness were present. The liver was palpable 5 cm below the costal margin, but the spleen was not felt and no masses were palpable.


A case of Behçet's disease with superior and inferior vena caval occlusion.

Yoo WH, Moon JS, Kim SI, Kim WU, Min JG, Park SH, Lee SH, Cho CS, Kim HY - Korean J. Intern. Med. (1998)

Venography of left lower extremity. Left iliac vein is obliterated and multiple collateral veins (arrow) are shown.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4531947&req=5

f1-kjim-13-2-136-12: Venography of left lower extremity. Left iliac vein is obliterated and multiple collateral veins (arrow) are shown.
Mentions: A 26-year-old woman was admitted for dyspnea, coughing and generalized edema for the last 5 months. She had a symptoms complex of recurrent oral aphtous ulcer, genital ulcer, erythema nodosum like skin lesions, uveitis and positive Pathergy test, and was diagnosed to have BD according to the diagnostic criteria proposed by the International Study Group for Behçet’s disease5). She gave no history of smoking, consumption of alcohol or any drugs. Two years ago, bypass surgery was performed due to deep vein thrombosis of left lower extremity (Fig. 1, 2). At that time, she did not follow-up and was not prescribed for any medication. On physical examination, the patient was uncomfortable and slightly pale. She became dyspneic on supine for the examination. No rash or lymphadenopathy was found. There was marked edema over the face, neck, both shoulders, anterior chest and lower extremities. Also, collateral vessels formation in the anterior chest wall and abdomen were noticed. Diminished breath sounds were present over both lung fields. The abdomen was distended and non-tender, but a fluid wave and shifting dullness were present. The liver was palpable 5 cm below the costal margin, but the spleen was not felt and no masses were palpable.

Bottom Line: Behçet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis.A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion.Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Medical College, Catholic University of Korea.

ABSTRACT
Behçet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis. A case of BD with large vein thrombosis involving superior and inferior vena cava is presented. Large vein thrombosis in BD is not commonly developed and most commonly observed in the inferior or superior vena cava. A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion. Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.

Show MeSH
Related in: MedlinePlus