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PubMed1983

Budd-Chiari syndrome and renal failure in Behcet disease. Report of a case and review of the literature.

A case of Behcet syndrome associated with three rare complications is presented. The patient initially presented with asymmetric polyarticular arthritis, subcutaneous nodules, conjunctivitis, and episcleritis. Necrotizing vasculitis and renal failure subsequently evolved. Despite immunosuppressive therapy, Budd-Chiari syndrome with high grade hepatic obstruction developed. A Denver shunt procedure failed to alter the terminal course. At postmortem examination, skin lesions, carditis, hepatic vein thrombosis, gastric ulcerations, and focal proliferative glomerulonephritis were found. The immunoglobulins and complement present in skin and renal tissue suggest an immune complex pathogenesis.

Adult↗
PubMed1998

[Rhabdomyoma of the right ventricle associated with Behcet disease simulating the presence of a malignant tumor].

OBJECTIVE OF THE STUDY: To present the clinical case of a patient suffering from a rhabdomyoma associated to Behçet's disease. PATIENTS: A 35-year-old man with a history of high fever associated to oral ulcers, sinus tachycardia, leukocytosis and a high erythrocyte sedimentation rate. Physical examination, chest x-ray, blood chemistry, serology and rheumatic tests were normal. Seriate sputum cultures, urocultures and blood cultures were negative. The echocardiogram showed a non-obstructive mass in the right ventricle, which was confirmed by magnetic resonance imaging. INTERVENTIONS: Resection of the tumor under cardiopulmonary bypass. After the post-operative recurrence of the fever and the appearance of genital ulcers, the diagnosis of Behçet's disease was made. Two and a half years after the operation the patient remains asymptomatic under treatment with colchicine. CONCLUSIONS: The clinical setting suggested a malignant tumor of the right ventricle but the pathological findings showed an adult rhabdomyoma. The rarity of finding a rhabdomyoma in an adult is stressed, as well as its association with Behçet's disease.

Adult↗
PubMed1959

[Behcet disease].

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Behcet Syndrome↗