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Superior Vena Cava Syndrome Without Thrombosis Found in Behcet's Disease

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초록

Behcet's disease is a rare multisystemic disorder whose main pathological defectis vasculitis, and superior vena cava (SVC) syndrome without thrombosis is a very rare manifestation of the disease. These authors encountered a case of SVC syndrome without thrombosis caused by Behcet's disease. A 33-year-old man visited the hospital for aggravated dyspnea without any related medical and familial history. He had a threeday history of abrupt swelling of the face, neck, and right arm. He suffered from recurrent oral ulcer, and there were acneiform nodules on his face as well as redness and swelling at the site of the intravenous injection. On the multi-detected computed tomography (CT) chest angiograms (chest angio MDCT), the SVC narrowed without thrombosis. Venogram was carried out, and percutaneous transluminal balloon angioplasty of the SVC stenotic site was performed. The following day, the swelling was found to have subsided. The details of the case are reported herein.

Abstract

Behcet's disease is a rare multisystemic disorder whose main pathological defectis vasculitis, and superior vena cava (SVC) syndrome without thrombosis is a very rare manifestation of the disease. These authors encountered a case of SVC syndrome without thrombosis caused by Behcet's disease. A 33-year-old man visited the hospital for aggravated dyspnea without any related medical and familial history. He had a threeday history of abrupt swelling of the face, neck, and right arm. He suffered from recurrent oral ulcer, and there were acneiform nodules on his face as well as redness and swelling at the site of the intravenous injection. On the multi-detected computed tomography (CT) chest angiograms (chest angio MDCT), the SVC narrowed without thrombosis. Venogram was carried out, and percutaneous transluminal balloon angioplasty of the SVC stenotic site was performed. The following day, the swelling was found to have subsided. The details of the case are reported herein.

참고문헌 (8)

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  4. de Paiva TF Jr, "Behçet’s disease associated with superior vena cava syndrome without thrombosis", Clin Rheumatol, 26, pp.804~806 (2007)
  5. Aggarwal A, "Co-occurrence of medium and large vessel vasculitis: dilemma in classification", J Indian Rheumatol Assoc, 10, pp.71~73 (2002)
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  7. 김대혁, "Superior Vena Cava Syndrome Caused by Encircling Soft Tissue", The Korean Journal of Internal Medicine, 22(2), pp.118~121 (2007), 대한내과학회
  8. Schifferdecker B, "Nonmalignant superior vena cava syndrome: pathophysiology and management", Catheter Cardiovasc Interv, 65, pp.416~423 (2005)

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