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題名 | Behcet's Disease with Involvement of Major Arteries : A Case Report=貝塞特氏症之大血管病變:一病例報告 |
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作者 | 何柏陵; 林瑞泰; 陳英富; 林秀芬; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 17:4 2008.12[民97.12] |
頁次 | 頁253-257 |
分類號 | 415.92 |
關鍵詞 | 貝塞特氏症; 血管病變; Behcet's disease; Carotid occlusion; Aortic aneurysm; |
語文 | 英文(English) |
英文摘要 | Vascular involvement is not infrequent in Behcet's disease (BD). It is generally seen in the form of superficial thrombophlebitis or occlusion of major veins. In rare instances, arterial occlusion and aneurysm formation may be seen in BD. We reported a young male with BD, diagnosed at the age of twenty for relapsing and remitting oral ulceration, skin rash, arthralgia and ocular painful redness for three years. At the age of 21, he had recurrent abdominal aortic aneurysm and inconspicuous neurological manifestations including dizziness, tinnitus and transients of blurred vision. The carotid angiography disclosed the occlusion of bilateral common carotid arteries (CCA). A carotid endarterectomy was subsequently performed to reduce the risk of stroke. The pathological examination of the occluded segment of CCA revealed chronic inflammation, which was attributable to BD. There was no atherosclerotic change. To the best of our knowledge, this is the first case report of concurrent bilateral CCA occlusion and relapsing abdominal aortic aneurysm. Even in the absence of specific neurological symptoms, we suggest that cerebrovascular investigation need to take into consideration in BD patients with unexplained cranial symptoms. |
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