Trombosis de senos venosos encefálicos como posible primera manifestación de enfermedad de Behçet: Caso clínico / Extensive cerebral vein thrombosis as first manifestation of Behçet's disease: Report of one case
Rev. méd. Chile
; 138(6): 746-751, jun. 2010. ilus, tab
Article
en Es
| LILACS
| ID: lil-567571
Biblioteca responsable:
CL1.1
ABSTRACT
Behçets disease (BD) is a systemic inflammatory vascular disease with several clinical manifestations and geographical differences in disease expression. In Middle Eastern countries it is one of the most common causes of cerebral venous thrombosis. We report a 29-year-old female admitted for acute headache and vomiting. A magnetic resonance image showed a large thrombosis of sagital and transverse sinuses. She developed oral and genital ulcers a week later. Ophthalmologic examination revealed left anterior uveitis and ipsilateral papilledema. Multiple studies ruled out a hypercoagulability syndrome. The patient used oral contraceptives. Anticoagulant therapy was prescribed. A biopsy of a genital ulcer demonstrated diffuse lymphocytic infiltration with vasculitis. After treatment with topical and systemic corticoids, her condition improved. Venous sinus thrombosis followed by oral and genital ulcers is an unusual presentation of Behçets disease.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Trombosis de los Senos Intracraneales
/
Síndrome de Behçet
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
2010
Tipo del documento:
Article
Pais de publicación:
Chile