title: Superior vena cava syndrome revealing a Behçet's disease.
abstract: BACKGROUND
  Behçet's disease (BD) is a rare vasculitis in sub-Saharan Africa. Vascular thrombosis, especially venous, is common in this condition and also constitutes a basic diagnostic criterion. Its affection of the superior vena cava is rather rare with only a few cases described in the literature.
  
  
  METHODS
  A 42-year-old male patient was seen at consultation presenting with a pulsatile, warm and slightly painful right latero-cervical swelling extending to the supraclavicular fossa with the presence of collateral venous circulation for three weeks prior to presentation associated with a mild headache. There were oral and genital ulcerations and erythematous skin lesions associated with a history of inflammatory recurrent arthralgia. Chest computed tomo-angiography showed cruoric internal jugular vein thrombosis extending to the superior vena cava with significant venous collateral circulation. The patient was treated with prednisolone (1 mg/kg/day) and colchicine (2 mg/day), as well as anticoagulation with heparin and vitamin K antagonist (Acenocoumarol) with regular INR monitoring. Clinical evolution was favorable during hospitalization, with residual discrete right supraclavicular swelling. There was no bleeding associated with anticoagulants use.
  
  
  CONCLUSIONS
  The case stresses the importance of maintaining a high degree of suspicion for Behçet's disease in all cases of venous thrombosis.
authors: Service de cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Simon Antoine
authors: SA
authors: Sarr
authors: Service de cardiologie, Hôpital Principal de Dakar, Dakar, Sénégal.
authors: Pape Diadie
authors: PD
authors: Fall
authors: Service de cardiologie, Hôpital Principal de Dakar, Dakar, Sénégal.
authors: Mouhamadou Chérif
authors: MC
authors: Mboup
authors: Service de cardiologie, Hôpital Principal de Dakar, Dakar, Sénégal.
authors: Khadidiatou
authors: K
authors: Dia
authors: Service de cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Malick
authors: M
authors: Bodian
authors: Service de cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors: Modou
authors: M
authors: Jobe
keywords: Behçet; Dakar; Superior vena cava syndrome; Thrombosis