[Behcet disease with cardiac and pulmonary manifestations]

Presse Med. 1998 Oct 31;27(33):1674-6.
[Article in French]

Abstract

Background: Behçet's disease is a multisystem illness rarely including cardiac involvement. We report a case characterized by a mural cardiac mass in the right ventricle.

Case report: A 14-year-old boy presented with a full set of symptoms leading to the diagnosis of Behçet's disease. Echocardiography revealed a 60/120 mm mass in the right ventricle. With anticoagulation therapy, prednisone and cyclophosphamide, the cardiac lesion progressively resolved.

Discussion: This observation is exceptional because cardiac mas is rarely described in Behçet's disease. Surgical exploration, which is usually indicated to exclude malignant process, is not necessary in such cases.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Alkylating Agents / therapeutic use
  • Anticoagulants / therapeutic use
  • Behcet Syndrome / complications*
  • Behcet Syndrome / diagnostic imaging
  • Behcet Syndrome / physiopathology
  • Cyclophosphamide / therapeutic use
  • Echocardiography
  • Glucocorticoids / therapeutic use
  • Heart Diseases / diagnostic imaging
  • Heart Diseases / drug therapy
  • Heart Diseases / etiology*
  • Humans
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / etiology*
  • Magnetic Resonance Imaging
  • Male
  • Prednisone / therapeutic use
  • Treatment Outcome

Substances

  • Alkylating Agents
  • Anticoagulants
  • Glucocorticoids
  • Cyclophosphamide
  • Prednisone