Case Report
Volume: 5 | Issue: 3 | Published: Feb 22, 2021 | Pages: 85 - 88 | DOI: 10.24911/ejmcr/173-1603820058
Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation
Authors:
Meriem Boumaaz
, Iliyasse Asfalou
, Ilyas El Kassimi
, Maha Raissouni
, Aatif Benyass
, Elmehdi Zbir
Article Info
Authors
Meriem Boumaaz
Department of Cardiology, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco
Iliyasse Asfalou
Department of Cardiology, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco
Ilyas El Kassimi
Department of Internal Medicine, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco
Maha Raissouni
Department of Cardiology, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco
Aatif Benyass
Department of Cardiology, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco
Elmehdi Zbir
Department of Cardiology, Mohammed V Military teaching Hospital, Mohammed V University, Rabat, Morocco.
Publication History
Received: October 28, 2020
Revised: December 18, 2020
Accepted: February 01, 2021
Published: February 22, 2021
Abstract
Background: Behcets disease is a systemic vasculitis with unusual thrombosis, especially in children. Intracardiac localization is rare. The site of choice is the right ventricle. It may be isolated, but must necessarily seek other vascular attacks, in particular an aneurysmal pathology of pulmonary arteries. Its clinical expression is not specific. Case Presentation: An 8-years-old boy was hospitalized for an isolated prolonged fever with marked inflammatory state. No infectious symptoms were identified. Electrocardiogram showed a right branch block and negative T waves in V1-V3 leads. Transthoracic echocardiography revealed multiple right ventricular masses, associated with minimal pericardial effusion. These masses have various sizes and are lining right side of interventricular septum and pulmonary infundibulum without right ventricular outflow tract obstruction. Thoracic computerized tomography scan and cardiac magnetic resonance imaging confirmed that cardiac masses were multiples thrombi filling right ventricle and pulmonary artery. Thrombophilia panel assessment and eye fundus examination were normal. The patient was not a carrier of the HLA B51 gene. Juvenile Behcets disease was the final diagnostic. Treated by anticoagulant and corticotherapy, the clinical and ultrasound course of the patient was favorable. A 3-year follow up didnt show a recurrence of these thrombi. Conclusion: Regression of thrombus under anticoagulant, of fever and inflammatory syndrome under corticosteroid therapy, is a good retrospective diagnostic criterion.
Keywords: Juvenile Behcets disease, cardiovascular, thrombi, green
Pubmed Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. EJMCR. 2021; 22 (February 2021): 85-88. doi:10.24911/ejmcr/173-1603820058
Web Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. https://ejmcr.com/articles/1347 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1603820058
AMA (American Medical Association) Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. EJMCR. 2021; 22 (February 2021): 85-88. doi:10.24911/ejmcr/173-1603820058
Vancouver/ICMJE Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. EJMCR. (2021), [cited December 25, 2024]; 22 (February 2021): 85-88. doi:10.24911/ejmcr/173-1603820058
Harvard Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir (2021) Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. EJMCR, 22 (February 2021): 85-88. doi:10.24911/ejmcr/173-1603820058
Chicago Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. "Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation." 22 (2021), 85-88. doi:10.24911/ejmcr/173-1603820058
MLA (The Modern Language Association) Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir. "Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation." 22.February 2021 (2021), 85-88. Print. doi:10.24911/ejmcr/173-1603820058
APA (American Psychological Association) Style
Meriem Boumaaz, Iliyasse Asfalou, Ilyas El Kassimi, Maha Raissouni, Aatif Benyass, Elmehdi Zbir (2021) Cardiovascular manifestations in juvenileonset Behcet's disease: unusual mode of revelation. , 22 (February 2021), 85-88. doi:10.24911/ejmcr/173-1603820058