BEHÇET OLGUSUNDA DİŞ ÇEKİMİ SONRASI GELİŞEN EKSTERNAL KAROTİD ARTER PSEUDOANEVRİZMASI VE İNTERNAL JUGULER VEN TROMBOZU

Year 2009, Volume: 22 Issue: 3, 252 - 256, 22.06.2015

Figen Palabıyık Arda Kayhan Esra Karaçay Ercan İnci Tan Cimilli

Abstract

Behçet hastalığı nedeni bilinmeyen, vaskülit ile seyreden multisistemik enflamatuar bir hastalıktır. Klinik
bulgulardan sorumlu küçük damar vaskülitine ek olarak olgularda büyük ven ve arter tutulumu ve buna bağlı
psödoanevrizma, tromboz gibi komplikasyonlar gelişebilir. Büyük arter komplikasyonları sıklık sırasına göre
aort, pulmoner , femoral, subklavian ve karotid arterlerde meydana gelir. Literatürde ekstrakranial yerleşim
ve özellikle eksternal karotid arter tutulumu ve bu lokalizasyonda gelişen komplikasyon nadir olarak
bildirilmiştir. Ayrıca literatürde Behçet hastasında diş çekimi sonrası oral aftöz lezyon oluşumu mevcut iken
büyük damar tutulumu bildirilmemiştir.Olgu sunumumuzda, erkek Behçet hastasında diş çekimi sonrası
meydana gelen eksternal karotid arter psödoanevrizması ve internal juguler ven trombozu klinik ve
radyolojik bulgular eşliğinde değerlendirilmiştir.

Keywords

Behçet hastalığı, Dental manipulasyon, Eksternal karotid arter pseudoanevrizması, Internal juguler ven trombozu

References

• 1. Chajek T, Fainaru M. Behcet’s disease. Report of 41 cases and a review of the literature. Medicine 1975; 54:179-182.
• 2. Venkatasubramaniam KV, Swinehart D. Behcet’s syndrome: case report and literature review. Henry Ford Hosp Med J 1981; 29:153-159.
• 3. James DG, Thomson A. Recognition of the diverse cardiovascular manifestations in Behcet’s disease. Am Heart J 1982; 103:457-458.
• 4. Müftüoğlu AU, Yurdakul S, Yazini H, et al. Vascular involvement in Behcet\'s disease: A review of 129 cases. In: Lehner T, Barnes CG, eds. Recent Advances in Behcet\'s Disease. London: Royal Society of Medicine Services Limited, 1986:1:255-260.
• 5. Mumcu G, Ergun E, Inanc N, et al. Oral health is impaired in Behcet’s disease and is associataed with disease severity. Rheumatology 2004; 43:1028-1033.
• 6. Direskeneli H. Autoimmunity vs autoinflammation in Behcet’s disease: do we oversimplify a complex disorder? Rheumatology 2006; 45:1461-1465.
• 7. The Behcet\'s Disease Research Committee of Japan. Skin hypersensitivity to streptococcal antigens and the induction of systemic symptoms by the antigens in Behcet\'s disease-a multicenter study. J Rheumatol 1989; 16:506-511.
• 8. Aoki K, Ohno S. Studies on the constitution and past history of patients with Behcet’s disease. Acta Soc Ophthalmol Jpn 1972; 76: 1608-1612.
• 9. Mizushima Y, Matsuda T, Hoshi K, Ohno S. Induction of Behçet’s disease symptoms after dental treatment and streptococcal antigen skin test. J Rheumatol 1988; 15:1029-1030.
• 10. Saba D, Saricaoglu H, Bayram AS, Erdoğan C, et al. Arterial lesions in Behcet’s disease. Vasa 2003; 32:75-81.
• 11. Posacıoglu H, Apaydın AZ, Parildar M, Buket S. Large pseudoaneurism of the carotid artery in Behcet’s disease. Tex Heart Inst J 2005; 32:95-98.
• 12. Kuzu MA, Ozaslan C, Koksoy C, Gurler A, Tuzuner A. Vascular involvement in Behcet’s disease: 8-year audit. World J Surgery 1994; 18:948-953.
• 13. Bartlett ST, McCarthy WJ , Palmer AS, et al. Multiple aneurysms in Behcet’s disease. Arch Surg 1988 ; 123:1004-1008.
• 14. Agrawal S, Jagadeesh R, Aggarwal A, et al. Aneurysm of the internal carotid artery in a female patient of Behcet\'s disease: a rare presentation. Clin Rheumatol 2007; 26:994-995.
• 15. Ozyazicioglu A, Kocak H, Vural U. Carotid artery pseudoaneurysm in Behcet’s disease. Eur J Cardiothroc Surg 2001; 19:938-939.
• 16. Suzuki J, Akashi K, Shimada M, Abe S, Kawakami Y. A case of Behcet’s disease with a rapidly enlarging aneurysm in the common carotid artery. Jpn J Med 1991; 30:251-254.
• 17. Park J, Han M, Bettrnann M. Arterial manifestations of Behcet disease. AJR 1984; 143:821-825.