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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한자기공명의과학회 Investigative Magnetic Resonance Imaging Investigative Magnetic Resonance Imaging 제25권 제4호
- 발행연도
- 2021.12
- 수록면
- 332 - 337 (6page)
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초록· 키워드
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Behcet’s disease is a chronic inflammatory disorder involving vessels of various sizes and organs, including the skin, joints, gastrointestinal tract, lungs, and cardiovascular system. The etiology of Behcet’s disease is unclear, and clinical diagnosis is important in the absence of definitive laboratory or pathological findings diagnostic of Behcet’s disease. Cardiac involvement is rare but might present as endocarditis, myocarditis, pericarditis, or intracardiac thrombosis. This report presents a case of Behcet’s disease involving the heart in a 22-year-old man with unusual manifestations of right ventricular fibrosis and intracardiac thrombosis. Cardiac magnetic resonance imaging revealed multiple intracardiac thrombi and delayed diffuse subendocardial enhancement involving the right ventricle. No peripheral eosinophilia was detected.
Endomyocardial biopsy showed mixed inflammatory cell infiltrates. Based on the patient’s clinical history of oral ulcer and arthritis, a diagnosis of Behcet’s disease was made considering the clinical, radiological, and histological findings. Intracardiac thrombi and endomyocardial fibrosis are rare manifestations of Behcet’s disease, and the diagnosis is often a clinical challenge. Early diagnosis is important for appropriate management. Behcet’s disease should be considered in the differential diagnosis of patients with intracardiac thrombosis and endomyocardial fibrosis of the right chamber.
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참고문헌 (10)
참고문헌 신청
Escudier M / 2006 / Number VII Behcet's disease(Adamantiades syndrome) / Oral Dis 12:78~84
Sakane T / 1999 / Behcet's disease / N Engl J Med 341:1284~1291
Lee I / 2008 / Cardiac Behcet disease presenting as aortic valvulitis/aortitis or right heart inflammatory mass : a clinicopathologic study of 12 cases / Am J Surg Pathol 32:390~398
Geri G / 2012 / Spectrum of cardiac lesions in Behcet disease: a series of 52 patients and review of the literature / Medicine(Baltimore) 91:25~34
International Team for the Revision of the International Criteria for Behcet's Disease (ITR-ICBD) / 2014 / The International Criteria for Behcet's Disease (ICBD): a collaborative study of 27 countries on the sensitivity and specificity of the new criteria / J Eur Acad Dermatol Venereol 28:338~347
Sakane T / 1999 / Behcet's disease / N Engl J Med 341:1284~1291
Lee I / 2008 / Cardiac Behcet disease presenting as aortic valvulitis/aortitis or right heart inflammatory mass : a clinicopathologic study of 12 cases / Am J Surg Pathol 32:390~398
Geri G / 2012 / Spectrum of cardiac lesions in Behcet disease: a series of 52 patients and review of the literature / Medicine(Baltimore) 91:25~34
International Team for the Revision of the International Criteria for Behcet's Disease (ITR-ICBD) / 2014 / The International Criteria for Behcet's Disease (ICBD): a collaborative study of 27 countries on the sensitivity and specificity of the new criteria / J Eur Acad Dermatol Venereol 28:338~347
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