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KMID : 0368120110410070399
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Korean Circulation Journal
2011 Volume.41 No. 7 p.399 ~ p.401
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Aseptic Endocarditis in Behcet’s Disease Presenting as Tricuspid Valve Stenosis
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Lee Hyun-Sang
Choi Won-Suk
Kim Kyun-Hee
Kang Jung-Kyu
Kim Na-Young
Park Sun-Hee
Park Young-Whi
Nam Eon-Jeong
Yang Dong-Heon
Park Hun-Sik
Cho Yong-Keun
Lee Jong-Myung
Chae Shung-Chull
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Abstract
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Aseptic endocarditis is an uncommon complication of Behcet’s disease (BD). We describe a rare case of a 39-year-old female who had BD with aseptic endocarditis of the tricuspid valve (TV) presenting as tricuspid stenosis. She was diagnosed with BD four years ago. The mucocutaneous lesions were well-controlled with colchicine and short courses of corticosteroids. She remained free of signs and symptoms of BD for one year without any medication. Three months before admission, she gradually developed dyspnea on exertion and peripheral edema. Echocardiography revealed dilated right atrium and markedly thickened TV with severe stenosis. TV replacement was performed. Pathologic examination of the valve showed fibrinoid necrotic material and inflammatory cell infiltration. Blood cultures and cultures of the excised valve were negative for microorganisms.
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KEYWORD
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Behcet syndrome, Endocarditis, Tricuspid valve stenosis
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