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A Case of Behçet's Disease Mimicking Vertebral Invasion of a Mycotic Aneurysm

감염 동맥류로 인한 척추 골수염으로 오인한 베체트병 1예

  • Son, Hyo-Ju (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Sungim (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Kyung Hwa (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Cheong, Minseon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Inchul (Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Seokchan (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chong, Yong Pil (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 손효주 (울산대학교 의과대학 서울아산병원 내과) ;
  • 최승임 (울산대학교 의과대학 서울아산병원 내과) ;
  • 정경화 (울산대학교 의과대학 서울아산병원 내과) ;
  • 정민선 (울산대학교 의과대학 서울아산병원 내과) ;
  • 이인철 (울산대학교 의과대학 서울아산병원 병리과) ;
  • 홍석찬 (울산대학교 의과대학 서울아산병원 내과) ;
  • 정용필 (울산대학교 의과대학 서울아산병원 내과)
  • Received : 2017.05.02
  • Accepted : 2017.10.24
  • Published : 2018.04.01

Abstract

Behçet's disease is a systemic vasculitis of unknown etiology characterized by recurrent oral and genital ulcers and uveitis. The vascular involvement of Behçet's disease affects arteries, veins, and blood vessels of all sizes, and it can include venous or arterial thrombosis and arterial aneurysms. There are only a few reports of an aortic aneurysm invading a vertebral body in a patient with Behçet's disease. Here, we report the case of a 45-year-old man who was initially diagnosed with vertebral invasion of a mycotic aneurysm. He underwent vascular surgery and received empirical antibiotics, but all cultures were negative. However, he had persistent, recurrent deep vein thrombosis and elevated inflammatory markers. After reviewing the pathology, a final diagnosis of Behçet's disease was made. He was successfully treated with corticosteroids. This report presents a rare case of Behçet's disease mimicking vertebral invasion of a mycotic aneurysm.

감염 동맥류의 이차적인 척추 침범 또는 척추골수염으로 인한 척추 주변 조직의 염증성 변화의 가능성을 의심하였으나, 임상 경과 및 증상, 병리 조직을 토대로 최종적으로 베체트병에 의한 복부대동맥류 및 척추체의 손상으로 진단한 증례를 경험하여 보고한다.

Keywords

References

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