Behcet disease - aortitis

Case contributed by Oliver Hennessy


Intermittent claudication in lower limbs

Patient Data

Age: 40 years
Gender: Male

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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