A case of Behçet syndrome presenting with acute coronary syndrome

Author:

Akkuzu Gamze1ORCID,Erdoğan Aslan2,Moustafa Chanife3,Deniz Rabia1ORCID,Özgür Duygu Sevinç1,Karaalioğlu Bilgin1ORCID,Yıldırım Fatih1ORCID,Bes Cemal1ORCID

Affiliation:

1. Department of Rheumatology, Başakşehir Çam and Sakura City Hospital University of Health Sciences Istanbul Türkiye

2. Department of Cardiology, Başakşehir Çam and Sakura City Hospital University of Health Sciences Istanbul Türkiye

3. Department of Internal Medicine, Başakşehir Çam and Sakura City Hospital University of Health Sciences Istanbul Türkiye

Abstract

AbstractCardiac involvement (CI) is rare in Behçet syndrome (BS), but the important point is that CI may be the first manifestation of the disease. The presence of CI worsens the prognosis of BS, so early diagnosis and early initiation of immunosuppressive treatment (IST) are vital. Coronary aneurysm may develop spontaneously in these patients, or any vascular intervention may cause aneurysm with a pathergy‐like reaction. The risk of restenosis is high after percutaneous coronary intervention or coronary artery bypass surgery applied without IST. Therefore, it should be kept in mind that IST constitutes the main step of treatment. Herein, we present a young male diagnosed with BS after acute coronary syndrome caused by coronary artery aneurysms and thrombosis.

Publisher

Wiley

Subject

Rheumatology

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