Duchêne F, Berthier S, de Wazières B, Zyka F, Leroy J, Estavoyer J M, Hoen B, Dupond J L
Service des Maladies infectieuses et tropicales, Hôpital St-Jacques, Besançon.
Presse Med. 1998 Oct 31;27(33):1674-6.
Behçet's disease is a multisystem illness rarely including cardiac involvement. We report a case characterized by a mural cardiac mass in the right ventricle.
A 14-year-old boy presented with a full set of symptoms leading to the diagnosis of Behçet's disease. Echocardiography revealed a 60/120 mm mass in the right ventricle. With anticoagulation therapy, prednisone and cyclophosphamide, the cardiac lesion progressively resolved.
This observation is exceptional because cardiac mas is rarely described in Behçet's disease. Surgical exploration, which is usually indicated to exclude malignant process, is not necessary in such cases.