Peripheral aneurysms in Behcet's disease
Mansoura Medical Journal. 2000; 30 (3-4): 399-413
em Inglês
| IMEMR
| ID: emr-54590
ABSTRACT
Behcet's disease is a multisystem inflammatory disorder which may involve the vascular system. In this report, 14 patients with Behcet's disease with a total of 16 periphral aneurysms are presented. All patients were male, ranging in age from 23-50 years. The most common site of aneurysm formation was the femoral artery in 10 patients [71%]. Others include 2 brachial, 1 popliteal, 1 external iliac, 1 peroneal, 1 posterior tibial. Only two patients with known previous history of venous thrombosis and under treatment of Behcet's disease In the other patients [86%] the first presentation was peripheral aneurysm and recurrent scrotal ulceration +/- oral ulceration. Synchronous multiple presentation in one patient and dis-synchronous presentation in other patient We performed interposition vein grafts for11 [8 femoral, 2 brachial and 1 popliteal] and 3 interposition PTFE graft [2 femoral and 1 external iliac]. Simple ligation as initial procedure was done for two [1 peroneal and 1 posterior tibial]. Anastomotic aneurysm developed in 2 patients [14%], secondary haemorrhage ended with A.k amputation in one patient [7%]. Relapse as new aneurysm formation in the aorta in 3 patients [21%] with mortality in two of them [14%]. Behcet's .disease should be considered in the differential diagnosis of periphral arterial aneurysm in young person in our population. A combination of corticosteroids and immune-suppression should be considered to control relapses responsible for new aneurysm formation especially in patients presented with multiple aneurysms
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Artéria Poplítea
/
Procedimentos Cirúrgicos Vasculares
/
Artéria Braquial
/
Doenças Vasculares Periféricas
/
Artéria Femoral
/
Aneurisma
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Mansoura Med. J.
Ano de publicação:
2000
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