Behcet's disease, vascular complication in a young woman: Case report
DOI:
https://doi.org/10.33448/rsd-v11i14.36422Keywords:
Behcet Syndrome; Oral ulcer; Aneurysm; Vascular surgical procedures.Abstract
Objectives: Behcet's disease (BD) is a chronic systemic inflammatory vasculitis of unknown etiology and systemic involvement characterized by recurrent oral and genital ulcerations, cutaneous manifestations and ocular, intestinal, neurological and vascular involvement. The aim of the study is to describe the clinical case of a patient diagnosed with Behcet's Disease who is admitted to the General Hospital of Fortaleza (HGF). Methods: Descriptive study of the case report type, using information obtained through interaction with the patient during hospitalization, as well as data obtained from the medical record of the results of laboratory tests and images. Discussion: Mucocutaneous lesions are the hallmark of the disease. Studies indicate that clinical manifestations are initially mild and that oral or genitourinary mucocutaneous lesions precede possible severe involvement. Male gender, younger age of onset and greater number of organs involved in the diagnosis are associated with a more severe disease and require more aggressive treatment. Conclusion: The early diagnosis of Behcet's Disease is challenging due to the plurality of symptoms which are also similar in several autoimmune pathologies. In cases of less severe manifestations, the use of steroids and/or immunosuppressants may be sufficient for disease remission.
References
Tong B, Liu X, Xiao J, & Su G. Immunopathogenesis of Behcet's Disease. Front Immunol. 10:665. 10.3389/fimmu.2019.00665.
Williams D. S. (2019) Behcet's Disease. J Insur Med. 48(1):103-105. 10.17849/insm-48-1-1-3.1.
Karadag O, & Bolek E. C. (2020) Management of Behcet's syndrome. Rheumatology (Oxford). 59(Suppl 3):iii108-iii117. 10.1093/rheumatology/keaa086.
Hatemi G, Christensen R, Bang D, et al. (2018) update of theEULAR recommendations for the management of Behçet's syndrome. Ann Rheum Dis2018; 77:808.
Yazici H, Seyahi E, Hatemi G, & Yazici Y. (2018) Behçet syndrome: a contemporary view. Nat Rev Rheumatol. 14(2):107-119. 10.1038/nrrheum.2017.208. Erratum in: Nat Rev Rheumatol. 14 (2):119.
Hatemi G, Silman A, Bang D, Bodaghi B, Chamberlain A. M, Gul A, Houman M. H, Kötter I, Olivieri I, Salvarani C, Sfikakis P. P, Siva A, Stanford M. R, Stübiger N, Yurdakul S, & Yazici H. (2009) Management of Behçet disease: a systematic literature review for the European League Against Rheumatism evidencebased recommendations for the management of Behçet disease. Ann Rheum Dis. 68(10):1528- 34. 10.1136/ard.2008.087957.
Al-Mutawa S. A, & Hegab S. M. (2004) Behcet's disease. Clin Exp Med. 4(3):103-31. 10.1007/s10238-004-0045-0.
Nishiyama T, Kondo Y, Okamoto S, Terasaki M, Toko H, Yagishita M, Takahashi H, Yokosawa M, Tsuboi H, Matsumoto I, Sumida T. (2020) Aortic Arch Aneurysm in Behçet Disease Successfully Treated with Infliximab. Intern Med. 59(8):1087-1091. 10.2169/internalmedicine.3946-19.
Davatchi F. (2018) Behçet's disease. Int J Rheum Dis. 21(12):2057-2058. 10.1111/1756- 185X.13465.
Alpsoy E. (2016) Behçet's disease: A comprehensive review with a focus on epidemiology, etiology and clinical features, and management of mucocutaneous lesions. J Dermatol. 43(6):620-32. 10.1111/1346-8138.13381.
Greco A, De Virgilio A, Ralli M, Ciofalo A, Mancini P, Attanasio G, de Vincentiis M, & Lambiase A. (2018) Behçet's disease: New insights into pathophysiology, clinical features and treatment options. Autoimmun Rev. 17(6):567-575. 10.1016/j.autrev.2017.12.006.
Scherrer M. A. R, Rocha V. B, & Garcia L. C. (2017) Behçet's disease: review with emphasis on dermatological aspects. An Bras Dermatol. 92(4):452-464. 10.1590/abd1806-4841.20177359.
Sallustro M, Faggioli G, Ancetti S, Gallitto E, Vento V, Pini R, & Gargiulo M. (2020) Endovascular Treatment of a Ruptured Superficial Femoral Artery Aneurysm in Behcet's Disease: Case Report and Literature Review. Ann Vasc Surg. 65:287.e1-287.e6. 10.1016/j.avsg.2019.11.023.
Saadouli D, Lahmar A, Ben Mansour K, El Afrit N, Yahyaoui S, & El Afrit M. A. (2021) Les manifestations oculaires au cours de la maladie de Behçet [Ocular manifestations of Behçet's disease]. J Fr Ophtalmol. 44(2):196-202. 10.1016/j.jfo.2020.04.058.
Smith, E. L., & Yazici, Y. (2020). All topics are updated as new evidence becomes available and our peer review process is complete. In P. Merkel (Ed.), UpToDate
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