Behcet disease: aortitis

Case contributed by Prof Oliver Hennessy

Presentation

Intermittent claudication in lower limbs

Patient Data

Age: 40
Gender: Male
Modality: 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 coeliac 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.

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

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Case Information

rID: 34359
Case created: 17th Feb 2015
Last edited: 6th Sep 2015
System: Cardiac
Inclusion in quiz mode: Included

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