A Case of Behcet's Disease with Splenic Infarction / 대한내과학회지
Korean Journal of Medicine
;
: 126-129, 2011.
Article
in Korean
| WPRIM
| ID: wpr-131151
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteritis
/
Autoimmune Diseases
/
Splenic Artery
/
Splenic Infarction
/
Azathioprine
/
Thrombosis
/
Blood Sedimentation
/
C-Reactive Protein
/
Prednisolone
/
Heparin
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2011
Type:
Article
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