Abstract
References
- Referans 1). Atzeni F, Sarzi-Puttini P, Doria A, et. al. Behçet's Disease and Cardiovascular İnvolvement. Lupus. 2005;14(9):723-6.
- Referans 2). Erbilen E, Albayrak S, Gulcan E, et. al. Acute Coronary Stenosis in a Young Man with Behçet’s Syndrome. Med Princ Pract. 2008;17(2):157-60.
- Referans 3). Matsumoto T, Uekusa T, Fukuda Y. Vasculo-Behçet's Disease: A Pathologic Study of Eight Cases. Hum Pathol. 1991 Jan;22(1):45-51.
- Referans 4). Saadoun D , Wechsler B. Behçet's disease. Orphanet J Rare Dis. 2012 Apr 12;7:20.
- Referans 5). Bettiol A, Prisco D, Emmi G. Behçet: The Syndrome. Rheumatology (Oxford). 2020 May ;59 (Suppl 3):iii101-iii107.
- Referans 6). Marzban M, Mandegar MH, Karimi A, et. al. Cardiac and Great Vessel Involvement in “Behcet's Disease”. J Card Surg. Nov-Dec 2008;23(6):765-8.
- Referans 7). Sezen Y, Buyukatipoglu H, Kucukdurmaz Z, Geyik R. Cardiovascular involvement in Behçet’s disease. Clin Rheumatol. 2010 Jan;29(1):7-12.
- Referans 8). Geri G, Wechsler B, Huong DLT, et. al. Spectrum of Cardiac Lesions in Behçet Disease a Series of 52 Patients and Review of the Literature. Medicine (Baltimore). 2012 Jan;91(1):25-34.
- Referans 9). Cocco G, Jerie P. Cardiac pathology and modern therapeutic approach in Behçet disease. Cardiol J. 2014;21(2):105-14.
- Referans 10). Hatemi G, Silman A, Bang D, et. al, EULAR Recommendations For The Management Of Behcet Disease. Ann Rheum Dis. 2008 Dec;67(12):1656-62.
A Case Report Of Behçet's Disease With Coronary Artery Involvement Cardiac Involvement Due to Behçet's Disease
Abstract
We present a case of coronary artery thrombosis due to Behçet's disease. A 49-year-old female patient, diagnosed with Behçet's disease and followed up by us, applied to the emergency department with sudden onset of pressure-type chest pain, and was evaluated as acute myocardial infarction due to elevated cardiac enzymes and ST segment elevation in the anterior leads on electrocardiography (ECG). Coronary angiography revealed near-total thrombosis in the lumen of the left anterior descending artery (LAD) and in the circumflex (CX) artery,it was intervened with anticoagulant therapy. The patient's cardiac risk was found to be low and differential diagnosis was made in terms of myocardial infarction. Thereupon, the causes of hypercoagulability were investigated in the patient who was consulted to us, and acute phase reactants were found to be high. This was related to the coronary artery involvement of Behçet's disease and in addition to the treatment containing antiaggregant, statin, angiotensin receptor blocker, intravenous (IV) high-dose methylprednisolone and cyclophosphamide-mesna treatment was given for immunosuppressive purposes. It should not be forgotten that there may be vascular involvement due to Behçet's disease and coronary arteries may also be affected.
Keywords
Behçet's disease coronary angiography coronary artery disease cyclophosphamide myocardial infarction
References
- Referans 1). Atzeni F, Sarzi-Puttini P, Doria A, et. al. Behçet's Disease and Cardiovascular İnvolvement. Lupus. 2005;14(9):723-6.
- Referans 2). Erbilen E, Albayrak S, Gulcan E, et. al. Acute Coronary Stenosis in a Young Man with Behçet’s Syndrome. Med Princ Pract. 2008;17(2):157-60.
- Referans 3). Matsumoto T, Uekusa T, Fukuda Y. Vasculo-Behçet's Disease: A Pathologic Study of Eight Cases. Hum Pathol. 1991 Jan;22(1):45-51.
- Referans 4). Saadoun D , Wechsler B. Behçet's disease. Orphanet J Rare Dis. 2012 Apr 12;7:20.
- Referans 5). Bettiol A, Prisco D, Emmi G. Behçet: The Syndrome. Rheumatology (Oxford). 2020 May ;59 (Suppl 3):iii101-iii107.
- Referans 6). Marzban M, Mandegar MH, Karimi A, et. al. Cardiac and Great Vessel Involvement in “Behcet's Disease”. J Card Surg. Nov-Dec 2008;23(6):765-8.
- Referans 7). Sezen Y, Buyukatipoglu H, Kucukdurmaz Z, Geyik R. Cardiovascular involvement in Behçet’s disease. Clin Rheumatol. 2010 Jan;29(1):7-12.
- Referans 8). Geri G, Wechsler B, Huong DLT, et. al. Spectrum of Cardiac Lesions in Behçet Disease a Series of 52 Patients and Review of the Literature. Medicine (Baltimore). 2012 Jan;91(1):25-34.
- Referans 9). Cocco G, Jerie P. Cardiac pathology and modern therapeutic approach in Behçet disease. Cardiol J. 2014;21(2):105-14.
- Referans 10). Hatemi G, Silman A, Bang D, et. al, EULAR Recommendations For The Management Of Behcet Disease. Ann Rheum Dis. 2008 Dec;67(12):1656-62.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 31, 2022 |
| Acceptance Date | December 28, 2022 |
| Published in Issue | Year 2022 |