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右心室血栓形成作为白塞病的一种表现形式。

Right ventricular thrombosis as a manifestation of Behçet's syndrome.

作者信息

Ebrahimifar Payam, Shahabi Javad

机构信息

Cardiologist, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Assistant Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

ARYA Atheroscler. 2017 Mar;13(2):91-94.

Abstract

BACKGROUND

Behçet's disease (BD) is a rare condition with a classic triad of oral and genital ulceration and eye disease. Cardiovascular complication is a rare finding in BD.

CASE REPORT

In this report, we present a seventeen years old patient with a history of fever for 20 days, who developed a clot in right ventricle (RV). Cardiac magnetic resonance imaging (MRI) and echocardiography demonstrated a thrombosis in RV and a thoracic multi detector computed tomographic image showed pulmonary thromboembolism (PTE) in patient. The patient was administered with methylprednisolone, cyclophosphamide and anticoagulant. A regular follow-up was carried out. Two months later, the RV clot had disappeared on transthoracic echocardiography (TTE).

CONCLUSION

In BD, early cardiac MRI and echocardiography should be performed for the detection of cardiac involvement, and medical treatment is the first choice of treatment.

摘要

背景

白塞病(BD)是一种罕见疾病,具有口腔和生殖器溃疡以及眼部疾病的经典三联征。心血管并发症在白塞病中是罕见表现。

病例报告

在本报告中,我们呈现一名17岁有20天发热病史的患者,其右心室(RV)出现血栓。心脏磁共振成像(MRI)和超声心动图显示右心室有血栓形成,胸部多层螺旋计算机断层扫描图像显示患者存在肺血栓栓塞(PTE)。给予患者甲泼尼龙、环磷酰胺和抗凝剂治疗,并进行定期随访。两个月后,经胸超声心动图(TTE)显示右心室血栓消失。

结论

在白塞病中,应早期进行心脏MRI和超声心动图检查以检测心脏受累情况,药物治疗是首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cea/5628857/4251c4c6dbe8/ARYA-13-091f1.jpg

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