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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.

DOI:10.1136/heart.85.4.e7
PMID:11250984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1729672/
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。

相似文献

1
Behçet's disease with a large intracardiac thrombus: a case report.伴有巨大心内血栓的白塞病:一例报告
Heart. 2001 Apr;85(4):E7. doi: 10.1136/heart.85.4.e7.
2
Right ventricular thrombus with Behçet's syndrome: successful treatment with warfarin and immunosuppressive agents.白塞病合并右心室血栓:华法林与免疫抑制剂治疗成功
Tex Heart Inst J. 2007;34(3):360-2.
3
Behçet's disease with right ventricle thrombus and bilateral pulmonary artery aneurysms--a case report.伴有右心室血栓和双侧肺动脉瘤的白塞病——病例报告
Angiology. 2004 Sep-Oct;55(5):573-5. doi: 10.1177/000331970405500516.
4
Intracardiac thrombus in a young man: don't forget Behçet's disease!一名年轻男性的心脏内血栓:别忘了白塞病!
Intern Med. 2012;51(14):1865-7. doi: 10.2169/internalmedicine.51.7640. Epub 2012 Jul 15.
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The disappearance of pulmonary artery aneurysms and intracardiac thrombus with immunosupressive treatment in a patient with Behçet's disease.白塞病患者经免疫抑制治疗后肺动脉瘤和心内血栓消失
Clin Exp Rheumatol. 2002 Jul-Aug;20(4 Suppl 26):S56-7.
6
[Right intracardiac thrombus in Behçet's disease].[白塞病中的右心内血栓]
Arch Mal Coeur Vaiss. 2004 Sep;97(9):925-8.
7
Successful treatment of intracardiac and pulmonary thrombi in Behçet's disease with oral anticoagulant and immunosuppressive therapy.口服抗凝剂和免疫抑制疗法成功治疗白塞病的心脏内和肺部血栓。
Acta Medica (Hradec Kralove). 2012;55(4):186-8. doi: 10.14712/18059694.2015.44.
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Thrombolytic treatment of right atrial thrombus in Behçet's disease under guidance of serial transesophageal echocardiography.在连续经食管超声心动图引导下对白塞病右心房血栓进行溶栓治疗。
J Heart Valve Dis. 2003 May;12(3):377-81.
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Left ventricular intracardiac thrombus in a patient with Behçet disease successfully treated with immunosuppressive agents without anticoagulation: a case report and review of the literature.白塞病患者左心室内血栓经免疫抑制剂成功治疗且未进行抗凝:一例病例报告及文献复习
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Intracardiac thrombus in Behçet's disease: four new cases and a comprehensive literature review.白塞病中的心脏内血栓形成:4例新病例及文献综述
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引用本文的文献

1
[Left ventricular thrombosis: an exceptional manifestation of Behçet's disease (a case report)].[左心室血栓形成:白塞病的一种罕见表现(病例报告)]
Pan Afr Med J. 2023 Apr 26;44:200. doi: 10.11604/pamj.2023.44.200.12844. eCollection 2023.
2
Intracardiac thrombus in Behçet's disease: a rare case in Morocco.白塞病中的心脏内血栓:摩洛哥的一例罕见病例。
Pan Afr Med J. 2020 Jun 15;36:92. doi: 10.11604/pamj.2020.36.92.23741. eCollection 2020.
3
Right ventricular thrombosis as a manifestation of Behçet's syndrome.右心室血栓形成作为白塞病的一种表现形式。
ARYA Atheroscler. 2017 Mar;13(2):91-94.
4
Inhibition of SA Node at Supine Position in Right Atrial Thrombus Complicating Behçet's Disease - From Cardiac Surgical Point of View.从心脏外科角度看白塞病合并右心房血栓时仰卧位下窦房结的抑制
Am J Case Rep. 2016 Jun 17;17:412-6. doi: 10.12659/ajcr.897998.
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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
Case Rep Rheumatol. 2014;2014:869817. doi: 10.1155/2014/869817. Epub 2014 Nov 9.
6
Intracardiac thrombus in Behçet's disease: four new cases and a comprehensive literature review.白塞病中的心脏内血栓形成:4例新病例及文献综述
Rheumatol Int. 2015 Jul;35(7):1269-79. doi: 10.1007/s00296-014-3174-0. Epub 2014 Nov 9.
7
Acute inferior myocardial infarction in a young male patient associated with Behcet's disease and sildenafil.一名年轻男性患者发生急性下壁心肌梗死,与白塞病和西地那非有关。
BMJ Case Rep. 2014 Jan 21;2014:bcr2013201189. doi: 10.1136/bcr-2013-201189.
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Behcet's Disease: New Concepts in Cardiovascular Involvements and Future Direction for Treatment.白塞病:心血管受累的新概念及治疗的未来方向
ISRN Pharmacol. 2012;2012:760484. doi: 10.5402/2012/760484. Epub 2012 Mar 8.
9
Noncompaction of the ventricular myocardium in a patient with Behçet's disease showing multiple thrombus formations in the right atrium, inferior vena cava and right iliac vein: A case report.白塞病患者出现心室心肌致密化不全,同时右心房、下腔静脉及右髂静脉有多处血栓形成:一例报告。
Int J Angiol. 2007 Summer;16(2):69-72. doi: 10.1055/s-0031-1278252.
10
Cardiac thrombosis as a manifestation of Behçet syndrome.心脏血栓形成作为白塞综合征的一种表现。
Tex Heart Inst J. 2010;37(5):568-71.

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.
3
Mucocutaneous criteria for the diagnosis of Behçet's disease: an analysis of clinicopathologic data from multiple international centers.白塞病诊断的黏膜皮肤标准:来自多个国际中心的临床病理数据分析
J Am Acad Dermatol. 1995 Jun;32(6):968-76. doi: 10.1016/0190-9622(95)91333-5.
4
Anticardiolipin antibodies: occurrence in Behçet's syndrome.抗心磷脂抗体:在白塞病中的出现情况。
Ann Rheum Dis. 1984 Oct;43(5):746-8. doi: 10.1136/ard.43.5.746.
5
Evidence for an endothelial cell dysfunction in association with Behçet's disease.与白塞病相关的内皮细胞功能障碍的证据。
Thromb Res. 1984 May 15;34(4):277-85. doi: 10.1016/0049-3848(84)90384-0.
6
Cell-mediated immune functions and immunoregulatory cells in Behçet's syndrome.白塞病中的细胞介导免疫功能和免疫调节细胞。
Clin Exp Immunol. 1982 Apr;48(1):121-8.
7
Decreased fibrinolysis in Behçet's disease.白塞病中纤维蛋白溶解减少。
Thromb Diath Haemorrh. 1973 Jun 28;29(3):610-8.
8
Evaluation of T cell subsets in Behçet's syndrome using anti-T cell monoclonal antibodies.使用抗T细胞单克隆抗体评估白塞病中的T细胞亚群。
Clin Exp Immunol. 1985 Apr;60(1):55-60.
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.