Abstract
IntroductionBehçet's disease is an inflammatory disorder of unknown origin, with mucocutaneous, ocular, articular, vascular, gastrointestinal and central nervous system manifestations. Although cardiac involvement is not an uncommon manifestation of Behçet's disease, coronary aneurysm has rarely been reported.Case presentationA 36-year-old Iranian man was admitted to our emergency department for retrosternal pain of two and a half hours duration. His detailed medical history revealed that he had no risk factors for coronary artery disease, however, Behçet's disease had been diagnosed about 10 years earlier. His electrocardiogram showed inferior myocardial infarction. He underwent coronary angiography that showed multiple giant aneurysms in his coronary arteries. Two months later, he experienced another episode of unstable angina. This was followed by two episodes of anterior myocardial infarction 2 and 5 months afterwards.ConclusionThis case highlights the importance of careful diagnostic work-up in the evaluation of myocardial infarction in patients. In our patient, Behçet's disease proved to be the cause of recurrent myocardial infarction.
Highlights
Behçet’s disease is an inflammatory disorder of unknown origin, with mucocutaneous, ocular, articular, vascular, gastrointestinal and central nervous system manifestations
Myocardial infarction due to coronary vasculitis in Behçet’s disease (BD) is infrequent and few cases have been documented in the literature [1,2,3]
We report the case of a patient with BD presenting with recurrent myocardial infarction due to coronary vasculitis with diffuse fusiform coronary aneurysms
Summary
Behçet’s disease is an inflammatory disorder of unknown origin, with mucocutaneous, ocular, articular, vascular, gastrointestinal and central nervous system manifestations. Cardiac involvement is not an uncommon manifestation of Behçet’s disease, coronary aneurysm has rarely been reported. His detailed medical history revealed that he had no risk factors for coronary artery disease, Behçet’s disease had been diagnosed about 10 years earlier. He underwent coronary angiography that showed multiple giant aneurysms in his coronary arteries.
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