Arterial complications of Behcet's disease, involving forty-seven patients
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作者:
Bensaid, Younes
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Bensaid, Younes
Lekehal, Brahim
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Lekehal, Brahim
El Mesnaoui, Abbes
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El Mesnaoui, Abbes
Bouziane, Zakariyae
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Bouziane, Zakariyae
Sedki, Nabil
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Sedki, Nabil
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来源:
E-MEMOIRES DE L ACADEMIE NATIONALE DE CHIRURGIE
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2008年
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7卷
/
02期
关键词:
Behcet syndrome;
arterial involvement;
D O I:
10.14607/emem.2008.2.054
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Arterial involvement during Behcet's disease is rare but it's certainly underestimated (autopsie works of Lakhampal). Our series of 47 patients represents as far as we know the biggest surgical series published till this day among with the series of 41 cases of Shimuzu and 25 cases of Le Thi Huong. The mean age of arterial lesions is 31.7 years with an obvious masculine predominance. The femoral location is the most frequent (22 cases) mainly aneurysms, our series is distinguished by 5 case report of aneurysms of the carotid artery and 1 case report of an aneurysm of the superior mesenteric artery. Arterial involvement is more often multiple (57 arteries in 47 patients). The excessive rate of postoperative thrombosis must reduce the surgical indications in presence of arterial stenosis, however aneurysms are a surgical emergency as their rupture is a rule. Any inflammatory like aneurysm occurring in a young adult from the mediterranean region and without any cardiac context should always be considered as a Behcet's disease. Medical treatment associating corticosteroids and immuno-suppressives should be given in postoperative to prevent recurrence.
机构:
Univ Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Choi, Su Jin
Nam, So Hye
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Univ Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Nam, So Hye
Lee, Jung Sun
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Univ Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Lee, Jung Sun
Lim, Doo-Ho
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Ulsan Univ Hosp, Div Rheumatol, Dept Internal Med, Ulsan, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Lim, Doo-Ho
Oh, Ji Seon
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Asan Med Ctr, Dept Biomed Informat, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Oh, Ji Seon
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Hong, Seokchan
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Kim, Yong-Gil
Lee, Chang-Keun
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Univ Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea
Lee, Chang-Keun
Yoo, Bin
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Univ Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South KoreaUniv Ulsan, Div Rheumatol, Dept Internal Med, Asan Med Ctr,Coll Med, Seoul, South Korea