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以心脏内肿块为表现的白塞病误诊为炎性肌纤维母细胞瘤。

Misdiagnosis of Behçet's disease presented with intracardiac mass as inflammatory myofibroblastic tumor.

作者信息

Unal Aksu Hale, Yazıcı Pınar, Oz Kürşat, Uslu Nevzat, Erek Ersin

机构信息

Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

出版信息

Turk Kardiyol Dern Ars. 2014 Apr;42(3):285-9. doi: 10.5543/tkda.2014.30509.

DOI:10.5543/tkda.2014.30509
PMID:24769823
Abstract

Behçet's disease is a chronic multisystem inflammatory disorder. There are limited data about cardiac involvement, but it is seen rarely. Herein, we present a 33-year-old male patient with heart failure secondary to a right ventricular mass. It was first diagnosed as inflammatory myofibroblastic tumor (IMT) histopathologically. During the postoperative follow-up, a thrombus was detected at the interatrial septum, and the patient was reevaluated. The diagnosis was possible Behçet's disease, and the mass, previously reported as IMT, was determined to be an organizing thrombus with a mixture of granulation tissue and thrombotic material.

摘要

白塞病是一种慢性多系统炎症性疾病。关于心脏受累的数据有限,且这种情况很少见。在此,我们报告一名33岁男性患者,因右心室肿块继发心力衰竭。组织病理学检查最初诊断为炎性肌纤维母细胞瘤(IMT)。术后随访期间,在房间隔发现血栓,并对患者进行了重新评估。诊断可能为白塞病,之前报告为IMT的肿块被确定为组织化血栓,伴有肉芽组织和血栓物质混合。

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