Vanhaleweyk G, el-Ramahi K M, Hazmi M, Sieck J O, Zaman L, Fawzy M
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre Riyadh, Saudi Arabia.
Eur Heart J. 1990 Oct;11(10):957-9. doi: 10.1093/oxfordjournals.eurheartj.a059619.
An 18-year-old man presented with a history of oral sores and presence of high fever, scrotal ulcerations and haemoptysis. Multiple mural cardiac masses were present in the right atrium, right ventricle and left ventricle. Furthermore, pulmonary vasculitis with aneurysm formation and venous thrombosis involving the superior sagittal sinus and right transverse sinus were found, and the diagnosis was made of (incomplete) Behçet's disease. While receiving anticoagulation and later, treatment with prednisone and cyclophosphamide, the cardiac thrombi gradually disappeared. We stress the importance of early echocardiography to evaluate cardiac abnormalities in Behçet's disease.
一名18岁男性，有口腔溃疡病史，伴高热、阴囊溃疡及咯血。右心房、右心室和左心室均有多个心壁肿物。此外，发现有肺血管炎伴动脉瘤形成，以及累及上矢状窦和右横窦的静脉血栓形成，诊断为（不完全型）白塞病。在接受抗凝治疗，随后使用泼尼松和环磷酰胺治疗后，心脏血栓逐渐消失。我们强调早期超声心动图对于评估白塞病心脏异常的重要性。
