A Case of Behcet's Disease with Splenic Infarction / 대한내과학회지
Korean Journal of Medicine
; : 126-129, 2011.
Article
em Ko
| WPRIM
| ID: wpr-131151
Biblioteca responsável:
WPRO
ABSTRACT
Behcet's disease is a multisystem autoimmune disease with vasculitic features, and major vascular involvement occurs in 7.7-60% of patients. Venous lesions are more common than arterial lesions and arterial thrombotic events are relatively rare. We report a patient with Behcet's disease who developed a splenic infarct associated with splenic thrombotic arteritis. A 44-year-old man who had been diagnosed with Behcet's disease 5 years earlier presented with left flank pain lasting for 5 days. Laboratory tests revealed an elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Computed tomography (CT) and three-dimensional CT showed a wedge-shaped splenic infarct and thrombus in the splenic artery. We treated him with low-molecular-weight heparin and prednisolone. The symptoms improved within 6 days of hospitalization, after which we stopped the heparin and added methotrexate and azathioprine. Splenic infarct should be ruled out if patients with Behcet's disease complain of new left-sided abdominal pain.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Arterite
/
Doenças Autoimunes
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Artéria Esplênica
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Infarto do Baço
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Azatioprina
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Trombose
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Sedimentação Sanguínea
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Proteína C-Reativa
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Prednisolona
/
Heparina
Limite:
Adult
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2011
Tipo de documento:
Article