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KMID : 0882420110810010126
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Korean Journal of Medicine
2011 Volume.81 No. 1 p.126 ~ p.129
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A Case of Behcet’s Disease with Splenic Infarction
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Jung Jang-Han
Kang Min-Kyu
Lee Han-Na
Kwon Mi-Hye
Jung Chung-Ill
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Abstract
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Behcet’s disease is a multisystem autoimmune disease with vasculitic features, and major vascular involvement occurs in 7.7-60% of patients. Venous lesions are more common than arterial lesions and arterial thrombotic events are relatively rare. We report a patient with Behcet’s disease who developed a splenic infarct associated with splenic thrombotic arteritis. A 44-year-old man who had been diagnosed with Behcet’s disease 5 years earlier presented with left flank pain lasting for 5 days. Laboratory tests revealed an elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Computed tomography (CT) and three-dimensional CT showed a wedge-shaped splenic infarct and thrombus in the splenic artery. We treated him with low-molecular-weight heparin and prednisolone. The symptoms improved within 6 days of hospitalization, after which we stopped the heparin and added methotrexate and azathioprine. Splenic infarct should be ruled out if patients with Behcet’s disease complain of new left-sided abdominal pain.
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KEYWORD
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Behcet’s disease, Splenic infarct, Arteritis
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