A diagnosis not to be missed: Behcet's disease as a cause of dilated cardiomyopathy in a young Arab male patient.
We report a 33-year-old Arab male patient who was thought to have severe idiopathic dilated cardiomyopathy (DCM) associated with complete atrioventricular block for more than 6 years, then was found to possess features suggestive of underlying Behcet's disease in the form of recurrent oral and genital ulcers, cutaneous folliculitis, superficial thrombophlebitis, pathergism, partially thrombosed portal vein and a positive human leukocyte antigen -B51.
Al Izzi
Mustafa
M
Division of Rheumatology, Department of Internal Medicine, Zayed Military Hospital, Abu Dhabi, UAE. musizi@hotmail.com
El Bur
Mohammed
M
Arif
Mohammed
M
D000328:Adult; D018912:Arabs; D001281:Atrial Fibrillation / Q000209:etiology; D054537:Atrioventricular Block / Q000209:etiology; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D004554:Electric Countershock; D005499:Folliculitis / Q000209:etiology; D005832:Genital Diseases, Male / Q000209:etiology; D015235:HLA-B Antigens / Q000097:blood; D059949:HLA-B51 Antigen; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D019226:Oral Ulcer / Q000209:etiology; D013924:Thrombophlebitis / Q000209:etiology; D016896:Treatment Outcome; D014479:United Arab Emirates; D020246:Venous Thrombosis / Q000209:etiology
D015235:HLA-B Antigens; D059949:HLA-B51 Antigen; D007166:Immunosuppressive Agents