Abstract
Background: Behcet’s disease is an autoimmune disease characterized by diffuse vasculitis and oral and genital ulcers. Coronary vasculitis is a rare finding in Behcet’s disease and only reported in few cases. Case summary: A 47-year-old male patient was recently diagnosed as Behcet’s disease and admitted as inferior ST elevation myocardial infarction. Coronary angiogram revealed coronary aneurysm in posterior descending artery with TIMI III flow. The patient was managed medically with immunosuppressive therapy and he discharged after 5 days in a stable condition. Patient was seen in the clinic after one month and he was asymptomatic. Conclusion: Coronary involvement in patients with Behcet’s disease is rare; however, it can be associated with myocardial infarction. Medical management with steroid and immunosuppressive therapy is the mainstay of therapy. Coronary intervention might be required in some cases with ongoing ischemia.
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