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KMID : 0882420140860010065
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Korean Journal of Medicine
2014 Volume.86 No. 1 p.65 ~ p.69
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A Case of Recovered Atrioventricular Conduction in Behcet Disease after Immunotherapy
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Kim Seong-Yoon
Shin Seung-Yong
Yang Ji-Hyun
Woo Jong-Shin
Kim Duk-Kyung
Cha Hoon-Suk
Kim Sung-Soon
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Abstract
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Atrioventricular conduction disturbance is a rare clinical manifestation of Behcet disease. We describe a case in which a 48-year-old man complaining of dyspnea on exertion presented with complete atrioventricular block with junctional escape rhythm caused by Behcet disease. He also had moderate aortic regurgitation and mitral regurgitation. MRI and PET scan revealed inflammatory changes involving the ventricular septum and the ascending aorta. Recovery of atrioventricular conduction and improvement of valvular regurgitation were achieved with immunotherapy. Timely diagnosis and treatment of cardiac Behcet disease can prevent unnecessary pacemaker implantation.
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KEYWORD
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Behcet disease, Atrioventricular block, Aortic regurgitation
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