Clinical course of Behcet's disease in a patient with delayed diagnosis and radiological follow-up of the thrombi with computed tomography angiography: a five-year follow-up under immunosuppressive treatment

Çınar, Muhammet; Yılmaz, Sedat; Akay, Sinan; Bozlar, Uğur; Di̇nç, Ayhan

doi:10.1016/j.rbre.2013.08.004

Cited by 1 publication

(1 citation statement)

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“…Vision loss or other signs of central nervous system ischemia that is consistent with other large-vessel vasculitis involving the carotid arteries may be observed in vascular BD (Reynolds 2008;Mendes et al 2009;Ksiaa et al 2019). However, a diagnosis may be delayed because overt vascular symptoms are not present in most patients (Cinar et al 2017).…”

Section: Discussionmentioning

confidence: 98%

Vascular Behcet’s Disease Preceded by Fever of Unknown Origin: Usefulness of Ultrasonography for the Detection of Large-Vessel Vasculitis

Matsumoto

Yashiro-Furuya

Fujita

et al. 2021

Tohoku J. Exp. Med.

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Behcet's disease is a systemic vasculitis characterized by oral and genital ulcers, erythema nodosum, and ocular involvement. Fever of unknown origin is a relatively rare event in Behcet's disease. We present the case of a 17-year-old male patient who suffered from prolonged fever for two months. The patient tested positive for HLA-B52 and levels of acute phase reactants were elevated. He complained of sore throat and neck pain that were evaluated by cervical ultrasonography, which revealed thickening of the carotid arterial wall and narrowing of the vessel lumen. The patient was diagnosed with vascular Behcet's disease and treated with glucocorticoid, which improved the clinical symptoms and thickening of the carotid arterial wall as detected by color duplex ultrasonography. Since vascular Behcet's disease may lead to morbidity and mortality, we suggest the early use of ultrasonography to help detect medium/large-vessel vasculitis. Prolonged fever in patients with Behcet's disease should be promptly evaluated for vascular involvement.

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