Schneebeli S, Barrier J, Dupas B, Brassard B, Grolleau J Y
Sem Hop. 1984 Feb 16;60(8):569-72.
While venous manifestations are common in Behçet disease and often occur as a presenting feature, thromboses of the vena cava are less frequent and usually occur several years after onset. We report the unusual case of a patient whose Behçet disease was revealed by vena cava thrombosis. Most authors underscore the difficulties encountered in ascribing vena cava thrombosis to Behçet disease and the frequent latency of inferior vena cava involvement. Pathological changes in these venous thromboses are identical to those found in other organs involved in Behçet disease: they consist in inflammation of the venous wall with perivascularitis and secondary thrombosis. Lastly, there is a general agreement as to the adverse prognostic significance of the venous involvement.
虽然静脉表现在白塞病中很常见,且常作为首发特征出现,但腔静脉血栓形成较少见,通常在发病数年之后出现。我们报告了一例不寻常的病例,患者的白塞病是由腔静脉血栓形成揭示的。大多数作者强调将腔静脉血栓形成归因于白塞病所遇到的困难以及下腔静脉受累的频繁隐匿性。这些静脉血栓形成的病理变化与白塞病累及的其他器官中发现的变化相同:包括静脉壁炎症伴血管周围炎和继发性血栓形成。最后,对于静脉受累的不良预后意义存在普遍共识。