诊断难题：一位患有白塞病的女性的心脏内肿物

Diagnostic dilemma: Intracardiac mass in a woman with Behçet's syndrome.

作者信息

Núñez-Cabarcas Edilberto, López-Ruiz Nilson, Ramírez-Rincón Alex

机构信息

Postgraduate Division, Universidad Pontificia Bolivariana, Medellín, Colombia.

Cardiology Division, Hospital Pablo Tobón Uribe, Medellín, Colombia.

出版信息

Arch Cardiol Mex. 2014 Oct-Dec;84(4):273-5. doi: 10.1016/j.acmx.2014.03.003. Epub 2014 Sep 16.

DOI:10.1016/j.acmx.2014.03.003

PMID:25239201

Abstract

Intracardiac thrombosis is a rare manifestation of cardiac involvement in Behçet's disease, and it may be mistaken for a heart tumor. In this letter we present the case of a patient diagnosed with Behçet's disease who was incidentally found to have a mass in the right atrium suspicious of a cardiac tumor. Nevertheless, cardiac magnetic resonance showed a cardiac thrombus. Immunosuppressive therapy and anticoagulation were effective for thrombus resolution.

摘要

心内血栓形成是白塞病累及心脏的一种罕见表现，可能会被误诊为心脏肿瘤。在这封信中，我们报告了一例被诊断为白塞病的患者，该患者偶然发现右心房有一个肿块，怀疑是心脏肿瘤。然而，心脏磁共振成像显示为心脏血栓。免疫抑制治疗和抗凝治疗对血栓溶解有效。