Superior vena cava thrombosis and dilated cardiomyopathy as initial presentations of Behcet's disease

Ahmed M Elzanaty; Mohammed T Awad; Ashu Acharaya; Ebrahim Sabbagh; Eman Elsheikh; Moshrik AbdAlamir

doi:10.1186/s12959-020-00225-y

Superior vena cava thrombosis and dilated cardiomyopathy as initial presentations of Behcet's disease

Thromb J. 2020 Jul 6:18:12. doi: 10.1186/s12959-020-00225-y. eCollection 2020.

Authors

Ahmed M Elzanaty¹, Mohammed T Awad¹, Ashu Acharaya¹, Ebrahim Sabbagh², Eman Elsheikh³, Moshrik AbdAlamir²

Affiliations

¹ Internal Medicine Departement, University of Toledo, 3000 Arlington Avenue, Toledo, OH 43614 USA.
² Cardiology Departement, University of Toledo, Toledo, Ohio USA.
³ Cardiology Departement, Tanta University Hospital, Tanta, Egypt.

Abstract

Background: Bechet's disease (BD) is a relatively rare disease that causes recurrent oral and genital ulcers in addition to a variety of systemic manifestations. Concomitant superior-vena-cava (SVC) thrombosis and cardiac involvement with dilated cardiomyopathy (DCM) as initial presentations for BD is considered rare.

Case presentation: A 32-year-old-man presenting with intractable headaches and dyspnea. He was later diagnosed with SVC thrombosis and DCM. A diagnosis of BD was made after detailed history-taking.

Conclusions: Cardiovascular manifisations can be the initial presentation of BD. We aim to highlight the importance of early clinical recognition of BD as a cause of DCM and SVC thrombosis.

Keywords: Behcet’s disease; Dilated cardiomyopathy; SVC thrombosis.

Publication types

Case Reports