EDWARD C. HUYCKE, M.D.; MAX ROBINOWITZ, M.D.; IRA S. COHEN, M.D.; NELSON A. BURTON, M.D.; STEPHEN M. FALL, M.D.; EUGENE P. BOLING, M.D.; DOUGLAS R. HOUGH, M.D.
Behçet's disease is a multisystem disorder that infrequently involves cardiac structures (1). Reported cardiac involvement includes pericarditis (2), myocarditis (3), acute myocardial infarction (4), acute aortic regurgitation (5), right heart endocardial fibrosis (6), right ventricular mural thrombus with pulmonary embolus (7), and ruptured aneurysm of sinus of Valsalva into the left ventricular cavity (8). Active endocarditis has been reported in one patient (9). Granulomatous endocarditis with major systemic embolism complicating Behçet's disease has not been previously reported.
A 50-year-old woman had acute onset of weakness, numbness, coolness, and pain in the left leg and hip. She had an 8-year history
HUYCKE EC, ROBINOWITZ M, COHEN IS, BURTON NA, FALL SM, BOLING EP, et al. Granulomatous Endocarditis with Systemic Embolism in Behçet's Disease. Ann Intern Med. ;102:791–793. doi: 10.7326/0003-4819-102-6-791
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Published: Ann Intern Med. 1985;102(6):791-793.
Cardiology, Endocarditis, Infectious Disease, Rheumatology, Vasculitides.
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