Superior Mesenteric Artery Vasculitis in Behçet's Disease: A Case Report and Literature Review

Internal Medicine
Eiichi KakehiMasami Matsumura

Abstract

A 55-year-old male presented with abdominal pain that had begun about 5 days ago. Physical examination revealed oral aphtha, genital aphthosis, and pseudofolliculitis, and the patient was diagnosed with incomplete Behçet's disease (BD). Contrast-enhanced computed tomography (CECT) showed dilation of the superior mesenteric artery and mesenteric infiltration of inflammation, indicating vasculo-BD. The symptoms were improved by 3-day of intravenous methylprednisolone pulse therapy followed by oral prednisolone. A literature review suggested that vasculo-BD should be included as a differential diagnosis in cases with unexplained abdominal pain, arterial dilation, and mesenteric invasion, and CECT examination and steroid therapy should be considered.

References

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Citations

Aug 28, 2018·Internal Medicine·Ryusuke Yoshimi
Sep 21, 2019·Cardiovascular & Hematological Agents in Medicinal Chemistry·Ana Karolina Víquez Beita, Thomas F Whayne

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Methods Mentioned

BETA
SMA
biopsy
ESR
dissection

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