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伴有巨大心内血栓的白塞病:一例报告

Behçet's disease with a large intracardiac thrombus: a case report.

作者信息

Baykan M, Celik S, Erdöl C, Baykan E C, Durmus I, Bahadir S, Erdöl H, Orem C, Cakirbay H

机构信息

Department of Cardiology, Karadeniz Technical University Faculty of Medicine, 61080 Trabzon, Turkey.

出版信息

Heart. 2001 Apr;85(4):E7. doi: 10.1136/heart.85.4.e7.

Abstract

Behçet's disease is recognised as a chronic multisystem disorder with vasculitis as its underlying pathological process. Cardiac involvement is rare and often associated with poor prognosis. A case of a 33 year old man with Behçet's disease, presenting with a large right ventricle and right atrial thrombus, is reported. Two dimensional (cross sectional), colour Doppler, and transoesophageal echocardiography, angiography, computed tomography, and magnetic resonance imaging were used to diagnose the disease. With cyclophosphamide and dexamethasone treatment, the cardiac lesions progressively resolved.

摘要

白塞病被认为是一种以血管炎为潜在病理过程的慢性多系统疾病。心脏受累罕见且往往预后不良。本文报告了一例33岁患有白塞病的男性患者,其表现为右心室和右心房巨大血栓。采用二维(断层)、彩色多普勒、经食管超声心动图、血管造影、计算机断层扫描和磁共振成像来诊断该疾病。经环磷酰胺和地塞米松治疗后,心脏病变逐渐消退。

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Pulmonary Nodules as an Initial Manifestation of Behçet's Disease.以肺结节为首发表现的白塞病
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本文引用的文献

1
Endomyocardial fibrosis in Behçet's disease.白塞病中的心内膜心肌纤维化
Ann Rheum Dis. 1997 Mar;56(3):205-8. doi: 10.1136/ard.56.3.205.
2
Right ventricular thrombus: an unusual manifestation of Behçet's disease.右心室血栓:白塞病的一种罕见表现。
J Am Soc Echocardiogr. 1994 Jul-Aug;7(4):438-40. doi: 10.1016/s0894-7317(14)80208-3.
9
Behçet's disease: cardiac and pulmonary involvement.白塞病:心脏和肺部受累。
Eur Heart J. 1986 Nov;7(11):999-1002. doi: 10.1093/oxfordjournals.eurheartj.a062006.
10
Abnormal B cell function in patients with Behçet's disease.白塞病患者的B细胞功能异常。
Arthritis Rheum. 1986 Feb;29(2):212-9. doi: 10.1002/art.1780290209.

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