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[心脏假性肿瘤揭示白塞病]

[Cardiac pseudotumor revealing Behçet's disease].

作者信息

Nya Fouad, Abdou Abdessamad, Bamous Mehdi, Moutakiallah Younes, Atmani Noureddine, Seghrouchni Aniss, Houssa Mahdi Ait, Boulahya Abdellatif

机构信息

Service de Chirurgie Cardiaque, Hôpital Militaire d'Instruction Mohamed V, Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Maroc.

出版信息

Pan Afr Med J. 2017 Mar 15;26:151. doi: 10.11604/pamj.2017.26.151.11478. eCollection 2017.

Abstract

Intracardiac thrombosis is a rare complication of Behçet's disease (BD), which may manifest as intracardiac tumor. In half of cases, its detection precedes the diagnosis of MB. High mortality rates may be related to post-surgical complications and/or pulmonary arteries involvement. We report the case of a 29-year old young patient, with a previous history of bipolar aphthosis, who underwent surgery after the detection of right atrium and ventricle tumor. Anatomo-pathological examination showed thrombus and MB was diagnosed in the postoperative period. Patient's evolution was favorable under medical treatment based on corticosteroids, colchicine and vitamin K antagonists (AVK). The detection of intracardiac mass in a young subject should suggest the diagnosis of cardiac thrombus and Behçet's disease, even in the absence of ethnic or geographical risk factors.

摘要

心内血栓形成是白塞病(BD)的一种罕见并发症,可表现为心内肿瘤。在半数病例中,其发现先于白塞病的诊断。高死亡率可能与术后并发症和/或肺动脉受累有关。我们报告一例29岁年轻患者,既往有复发性口疮病史,在发现右心房和心室肿瘤后接受了手术。解剖病理学检查显示为血栓,术后诊断为白塞病。在基于皮质类固醇、秋水仙碱和维生素K拮抗剂(AVK)的药物治疗下,患者病情好转。即使在没有种族或地域风险因素的情况下,年轻患者心内肿块的发现也应提示心脏血栓和白塞病的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d09b/5429457/932b13e100d8/PAMJ-26-151-g001.jpg

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