Jamoussi Sonia Ketari, Chaaba Hatem, Ben Dhaou Besma, Kochbati Samir, Boussema Fatma, Cherif Ouahida, Rokbani Lilia
Service de médecine interne, hôpital Habib Thameur, Tunis Tunisie.
Tunis Med. 2009 Dec;87(12):829-33.
Venous involvement is a rare and severe clinical feature in Behcet disease (BD).
We reported our experience with a rare and interesting subset of BD patients with venous involvement.
From 1994 to 2008, twenty eight cases of venous BD were found amongst BD patients in the department of internal medicine of Habib Thameur Hospital.
45 episodes of venous thrombosis occurred in 28 patients. There were 25 men and 3 women the mean age when venous involvement manifested was diagnosed was about 32.25. Venous thrombosis occur in the first five years following the diagnosis of BD. Pericarditis was more frequently noted in patients with venous BD than others without vasculo-Behcet disease. In contrast digestive and rheumatologic symptoms were more likely observed in patients without vasculo-Behcet disease. Thirteen patients underwent corticosteroids. Relapses occurred more frequently in patients without corticosteroid therapy.
Venous involvement is more frequently noted in vasculo-Behcet than arterial involvement. Its treatment should include anticoagulation in association with corticosteroids.
静脉受累是白塞病（BD）中一种罕见且严重的临床特征。
我们报告了对白塞病合并静脉受累这一罕见且有趣的患者亚组的治疗经验。
1994年至2008年期间，在哈比卜·塔穆尔医院内科的白塞病患者中发现了28例静脉型白塞病患者。
28例患者共发生45次静脉血栓形成。其中男性25例，女性3例，静脉受累表现被诊断时的平均年龄约为32.25岁。静脉血栓形成发生在白塞病诊断后的前五年。与无血管型白塞病的患者相比，静脉型白塞病患者更常出现心包炎。相比之下，无血管型白塞病的患者更易出现消化系统和风湿性症状。13例患者接受了皮质类固醇治疗。未接受皮质类固醇治疗的患者复发更频繁。
血管型白塞病中静脉受累比动脉受累更常见。其治疗应包括抗凝治疗并联合使用皮质类固醇。
