Elzanaty Ahmed M, Awad Mohammed T, Acharaya Ashu, Sabbagh Ebrahim, Elsheikh Eman, AbdAlamir Moshrik
Internal Medicine Departement, University of Toledo, 3000 Arlington Avenue, Toledo, OH 43614 USA.
Cardiology Departement, University of Toledo, Toledo, Ohio USA.
Thromb J. 2020 Jul 6;18:12. doi: 10.1186/s12959-020-00225-y. eCollection 2020.
Bechet's disease (BD) is a relatively rare disease that causes recurrent oral and genital ulcers in addition to a variety of systemic manifestations. Concomitant superior-vena-cava (SVC) thrombosis and cardiac involvement with dilated cardiomyopathy (DCM) as initial presentations for BD is considered rare.
A 32-year-old-man presenting with intractable headaches and dyspnea. He was later diagnosed with SVC thrombosis and DCM. A diagnosis of BD was made after detailed history-taking.
Cardiovascular manifisations can be the initial presentation of BD. We aim to highlight the importance of early clinical recognition of BD as a cause of DCM and SVC thrombosis.
白塞病（BD）是一种相对罕见的疾病，除了多种全身表现外，还会导致复发性口腔和生殖器溃疡。白塞病以伴有上腔静脉（SVC）血栓形成和心脏受累合并扩张型心肌病（DCM）为首发表现较为罕见。
一名32岁男性，出现顽固性头痛和呼吸困难。随后他被诊断为SVC血栓形成和DCM。经过详细的病史询问后，确诊为白塞病。
心血管表现可能是白塞病的首发症状。我们旨在强调早期临床识别白塞病作为DCM和SVC血栓形成病因的重要性。
