Vascular involvement in Behçet's disease. Two case reports.
Arterial involvement is rare in Behçet's disease but can be at the forefront of the clinical picture and cause life-threatening complications.


METHODS
A 36-year-old man had Behçet's disease with an aortographically documented aneurysm of the abdominal aorta as the inaugural manifestation. He had oral and genital ulcers. Funduscopy showed periphlebitis. In a 38-year-old man with an 8-year history of Behçet's disease, pulmonary and coronary artery aneurysms developed, as well as intracardiac and venous thromboses.


CONCLUSIONS
Arterial involvement occurs in 3-5% of patients with Behçet's disease and usually manifests as multiple spindle-shaped aneurysms. Intracardiac thrombosis and cardiac aneurysm are exceedingly rare. Our patient had an extremely unusual presentation given the low rate of occurrence of arterial lesions in Behçet's disease.


CONCLUSIONS
Arterial involvement in Behçet's disease raises treatment challenges because the lesions tend to recur and can cause life-threatening complications.
Rheumatology department B, hĵpital El Ayachi, Salé, Morocco.
Hasna
H
Hassikou
Wafae
W
Bono
Rachid
R
Bahiri
Souad
S
Abir
Mohamed
M
Benomar
Najia Hajjaj
NH
Hassouni
D000328:Adult; D000783:Aneurysm / Q000209:etiology; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology; D001528:Behcet Syndrome / Q000150:complications*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000209:etiology; D003331:Coronary Vessels; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D014652:Vascular Diseases / Q000209:etiology*; D020246:Venous Thrombosis / Q000209:etiology