Üst ekstremite trombozlu behçet hastalığı olgusu

Behçet hastalığı (BH) tekrarlayan oral, genital ülserler, göz bulgularının yanısıra kas-iskelet, nörolojik ve gastrointestinal sistem (GİS) tutulumları ile seyreden sistemik bir vaskülittir. BH'da vasküler tutulum oranı serilere göre %1-38 arasında değişmektedir. En sık görülen vasküler komplikasyon ekstremitelerin yüzeyel ven trombozu iken bunu derin ven trombozu (DVT) izler. Bu yazıda, üst ekstremite trombozu olan bir Behçet hastalığı olgusundan bahsedilecektir. 

A case of Behcet's disease with upper extremity thrombosis

Behcet's disease (BD) is a multi-system vasculitis in which recurrent oral and genital ulcers, uveitis as well as musculoskeletal, neurologic and gastrointestinal system involvement are observed. In previous studies, vascular involvement rate ranges between 1-38%. Most common vascular complication is superficial vein thrombosis of the extremities, followed by deep vein thrombosis. In this study, we will present a case of BD with upper extremity thrombosis.

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  • 1. Behcet H. Uber rezidivierende Aphthose, durch ein Virus verursachte Geschwure am Mund, am Auge und an den Genitalien. Dermatol ochenschr 1937,105:1152–7
  • 2. Onder M, Gurer MA. The multiple faces of Behcet’s disease and its aetiological factors. J Eur Acad Dermatol Venereol 2001;15:126-36
  • 3. Yurdakul S, Yazici Y. Epidemiology of Behçet’s syndrome and regional differences in disease expression. In: Yazici Y, Yazici H, editors. Behçet’s Syndrome. 1th edn. New York: Springer; 2010. pp. 35–52
  • 4. Saadoun D, Wechsler B, Desseaux K, Le Thi Huong D, Amoura Z, Resche-Rigon M, Cacoub P: Mortality in Behcet's disease. Arthritis Rheum 2010, 62(9):2806–2812
  • 5. Kaklamani VG, Vaiopoulos G, Kaklamanis PG. Behçet's disease Semin Arthritis Rheum 1998;27(4):197-217
  • 6. Sarica-Kucukoglu R, Akdag-Kose A, Kayabal I M. Vascular involvement in Behçet's disease: a retrospective analysis of 2319 cases. Int J Dermatol 2006;45(8):919-21
  • 7. Lie JT. Vascular involvement in Behcet’s disease: arterial and venous vessels of all sizes. J Rheumatol 1992;19:341-3
  • 8. Kuzu MA, Ozaslan C, Koksoy C, Gurler A, Tuzuner A. Vascular involvement in Behcet’s disease: 8-year audit. World J Surgery 1994;18:948-53
  • 9. Calamia T, Michael Schirmer M, Melikogluc M. Major vessel involvement in Behçet's disease: An Update Kenneth disclosures. Curr Opin Rheumatol 2011;23(1):24-31
  • 10. Alpsoy E. Behçet hastalıgında tedavi. Türk Dermatoloji Dergisi 2007;1(1):1-7
  • 11. Akci Ö, Avşar A. The Cardiovascular Involvement in Behcet’s Disease. Kocatepe Medical Journal 2014;15(2):218-25
  • 12. Kural-Seyahi E, Fresko I, Seyahi N, et al. The long-term mortality and morbidity of Behcet syndrome: a 2-decade outcome survey of 387 patients followed at a dedicated center. Medicine (Baltimore) 2003;82:60–76