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急性心肌梗死作为白塞病的首发表现

Acute Myocardial Infarction as the Initial Presentation of Behcet's Syndrome.

作者信息

Manghera Parminder Singh, Pradhan Akshyaya, Bajpai Jyoti, Sethi Rishi

机构信息

Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Int J Appl Basic Med Res. 2020 Oct-Dec;10(4):292-294. doi: 10.4103/ijabmr.IJABMR_223_19. Epub 2020 Oct 7.

Abstract

Behcet's disease (BD) is clinically characterized by recurrent oral and genital ulcers and ocular symptoms. However, systemic manifestations involving the lungs, gastrointestinal tract, kidneys, and heart are well known. Acute myocardial infarction (MI) is a rare manifestation of Behcet's syndrome and usually results from coronary arteries vasculitis, leading to aneurysms. More uncommon is the occurrence of acute MI as the initial presenting symptom. Hereby, we report a case of a young male who presented with acute anterior wall MI sans any other conventional risk factors with a normal angiogram. And 3 years later, he was diagnosed with BD.

摘要

白塞病(BD)的临床特征为复发性口腔溃疡、生殖器溃疡和眼部症状。然而,其累及肺部、胃肠道、肾脏和心脏的全身表现也较为常见。急性心肌梗死(MI)是白塞综合征的一种罕见表现,通常由冠状动脉血管炎导致动脉瘤引起。更不常见的是以急性心肌梗死作为首发症状。在此,我们报告一例年轻男性患者,其在无任何其他传统危险因素且血管造影正常的情况下出现急性前壁心肌梗死。3年后,他被诊断为白塞病。

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