Int J Angiol 2023; 32(01): 071-074
DOI: 10.1055/s-0041-1735208
Case Report

Undiagnosed Behçet's Disease Complicated by Multiple Pseudoaneurysms and COVID-19 Infection

1   Departments of Vascular Surgery, Worcestershire Royal Hospital, Worcester, United Kingdom
,
Julien Al Shakarchi
1   Departments of Vascular Surgery, Worcestershire Royal Hospital, Worcester, United Kingdom
,
Lewis Meecham
1   Departments of Vascular Surgery, Worcestershire Royal Hospital, Worcester, United Kingdom
,
Santhosh Vijay
2   Departments of Radiology, Worcestershire Royal Hospital, Worcester, United Kingdom
,
Richard Downing
1   Departments of Vascular Surgery, Worcestershire Royal Hospital, Worcester, United Kingdom
› Author Affiliations

Abstract

Behcet's disease (BD) is a rare multiorgan systemic disorder characterized by recurrent episodes of acute inflammation. Involvement of the vascular system, gastrointestinal tract, and central nervous system portends a poor prognosis.

We report the case of a 54-year-old man who presented with a 2-week history of symptoms attributable to infrarenal aortic and left tibioperoneal trunk pseudoaneurysms, defined by CT angiography which also revealed right lower lobe pulmonary artery (PA) and right anterior tibial arterial aneurysms. A prior history of recurrent oral ulceration, periodic fever, cerebral venous sinus thrombosis, and aseptic endocarditis with pulmonary emboli invoked a diagnosis of BD. Immunosuppression was commenced immediately, following synchronous endovascular and open arterial intervention, except the PA aneurysm.

He developed a fever and cough 8 days postoperatively as a consequence of COVID-19 infection from which he recovered without complications.

The management of the patient's four aneurysms in different vascular territories and postoperative COVID-19 infection in the presence of mandatory immunosuppression are discussed.

Note

This case was presented at the rheumatology meeting in the British Society for Rheumatology, in the Rheumatology Advances in Practice journal on October 1, 2020, and the abstract from the presentation was published in Rheumatology Advances in Practice, volume 4, issue supplement_1. Cited: Rameez Arif, Caroline Cardy, O05 Active Bechet's with life threatening arterial disease, complicated by concurrent COVID-19 infection at the peak of the COVID-19 pandemic: did immunosuppression help or hinder? Rheumatology Advances in Practice, volume 4, issue supplement_1, October 2020, rkaa053.004, https://doi.org/10.1093/rap/rkaa053.004.




Publication History

Article published online:
25 August 2021

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