Behcet disease: aortitis

Case contributed by Prof Oliver Hennessy

Presentation

Intermittent claudication in lower limbs

Patient Data

Age: 40
Gender: Male
CT

Changes of diffuse and extensive aortitis involve both the suprarenal and infrarenal aorta.

An inflammatory soft tissue mass surrounds the aorta , resulting in mural irregularity, luminal narrowing and narrowing and occlusion of major visceral branches

Both renal arteries are involved at their origin, distally they both appear normal

The celiac axis is occluded, its branches are fed via the superior mesenteric artery, this artery is narrowed at its origin.

The aortic bifurcation is patent with patent run-off to both lower limbs

Case Discussion

Behcet's syndrome manifests clinically with orogenital ulceration and symptoms related to a systemic vasculitis, affecting both arteries and veins.

Etiology is unknown, clinical presentation is most prelevant in the 20-40 age group

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Case information

rID: 34359
Published: 12th Mar 2015
Last edited: 12th Apr 2019
System: Cardiac
Inclusion in quiz mode: Included

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