Superior mesenteric artery vasculitis in behçet’s disease: A case report and literature review

Eiichi Kakehi, Seiji Adachi, Yusuke Fukuyasu, Yasuhiro Hashimoto, Masayo Yoshida, Taeko Osaka, Akane Hirotani, Hisanori Danbara, Kaduyo Shimizu, Ryosuke Fujita, Kazuhiko Kotani, Masami Matsumura

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

A 55-year-old male presented with abdominal pain that had begun about 5 days ago. Physical examination revealed oral aphtha, genital aphthosis, and pseudofolliculitis, and the patient was diagnosed with incomplete Behçet’s disease (BD). Contrast-enhanced computed tomography (CECT) showed dilation of the superior mesenteric artery and mesenteric infiltration of inflammation, indicating vasculo-BD. The symptoms were improved by 3-day of intravenous methylprednisolone pulse therapy followed by oral prednisolone. A literature review suggested that vasculo-BD should be included as a differential diagnosis in cases with unexplained abdominal pain, arterial dilation, and mesenteric invasion, and CECT examination and steroid therapy should be considered.

Original languageEnglish
Pages (from-to)127-133
Number of pages7
JournalInternal Medicine
Volume58
Issue number1
DOIs
Publication statusPublished - 2019
Externally publishedYes

Keywords

  • Behçet’s disease
  • Superior mesenteric artery
  • Vascular involvement
  • Vasculo-behçet’s disease

ASJC Scopus subject areas

  • Internal Medicine

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