[Cardiac pseudotumor revealing Behçet's disease].
BACKGROUND
Cardiac thrombosis is a rare complication of Behçet's disease (BD), which may present as a cardiac tumor. Its discovery precedes, in half of the cases, the diagnosis of BD. The high mortality may be associated to postsurgical complications and/or an associated involvement of pulmonary arteries.


METHODS
We present the case of a 31 years old Caucasian French woman, with a history of venous thromboembolic disease, who had surgery after the discovery of a right ventricle tumor. That was an organised thrombus with endomyocardial fibrosis and a diagnosis of Behçet's disease was made after the surgery. The outcome was favourable under medical treatment associating corticosteroids, colchicine and antivitamin K (AVK), without relapse four years later.


CONCLUSIONS
The discovery of an intracardiac mass in a young patient must evoke the diagnosis of cardiac thrombus and Behçet's disease, even in the absence of predisposing ethnic or geographic factor.
Darie
C
C
Service de médecine interne, hôpital Edouard-Herriot, 5, place Arsonval, 69003 Lyon, France. dariec2001@yahoo.fr
Knezinsky
M
M
Demolombe-Rague
S
S
Pinède
L
L
Périnetti
M
M
Ninet
J F
JF
Ninet
J
J
D000328:Adult; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D013927:Thrombosis / Q000209:etiology*