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.
引用
收藏
页码:420 / 424
页数:5
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