TY - JOUR
T1 - Superior mesenteric artery vasculitis in behçet’s disease
T2 - A case report and literature review
AU - Kakehi, Eiichi
AU - Adachi, Seiji
AU - Fukuyasu, Yusuke
AU - Hashimoto, Yasuhiro
AU - Yoshida, Masayo
AU - Osaka, Taeko
AU - Hirotani, Akane
AU - Danbara, Hisanori
AU - Shimizu, Kaduyo
AU - Fujita, Ryosuke
AU - Kotani, Kazuhiko
AU - Matsumura, Masami
N1 - Publisher Copyright:
© 2019 The Japanese Society of Internal Medicine.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Behçet’s disease
KW - Superior mesenteric artery
KW - Vascular involvement
KW - Vasculo-behçet’s disease
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U2 - 10.2169/internalmedicine.1290-18
DO - 10.2169/internalmedicine.1290-18
M3 - Article
C2 - 30146589
AN - SCOPUS:85059303829
SN - 0918-2918
VL - 58
SP - 127
EP - 133
JO - Internal Medicine
JF - Internal Medicine
IS - 1
ER -