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Cardiac pseudoturnor revealing Behcet's disease
被引:24
作者:
Darie, C
Knezinsky, M
Demolombe-Rague, S
Pinède, L
Périnetti, M
Ninet, JF
Ninet, J
机构:
[1] Hop Edouard Herriot, Serv Med Interne, F-69003 Lyon, France
[2] Hop Cardiovasc & Pneumol Louis Pradel, Serv Echog Cardiaque, F-69500 Bron, France
[3] Hop Cardiovasc & Pneumol Louis Pradel, Serv Chirurg Cardiaque, F-69500 Bron, France
来源:
REVUE DE MEDECINE INTERNE
|
2005年
/
26卷
/
05期
关键词:
cardiac thrombus;
Behcet's disease;
cardiac tumor;
D O I:
10.1016/j.revmed.2004.12.015
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Introduction. - Cardiac thrombosis is a rare complication of Behcet's disease (BD), which may present as a cardiac tumor. Its discovery precedes, in half of the cases, the diagnosis of BD. The high mortality may be associated to postsurgical complications and/or an associated involvement of pulmonary arteries. Case report. - We present the case of a 31 years old Caucasian French woman, with a history of venous thromboembolic disease, who had surgery after the discovery of a right ventricle tumor. That was an organised thrombus with endomyocardial fibrosis and a diagnosis of Behcet's disease was made after the surgery. The outcome was favourable under medical treatment associating corticosteroids, colchicine and antivitamin K (AVK), without relapse four years later. Conclusion. - The discovery of an intracardiac mass in a young patient must evoke the diagnosis of cardiac thrombus and Behcet's disease, even in the absence of predisposing ethnic or geographic factor. (c) 2005 Elsevier SAS. Tous droits reserves.
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页码:420 / 424
页数:5
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