감염 동맥류로 인한 척추 골수염으로 오인한 베체트병 1예 = A Case of Behçet’s Disease Mimicking Vertebral Invasion of a Mycotic Aneurysm

다국어 초록 (Multilingual 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.

국문 초록 (Abstract)

감염 동맥류의 이차적인 척추 침범 또는 척추골수염으로인한 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.

참고문헌 (Reference)

1 Gonzalez Gay M, "Vertebral erosions in abdominal aortic aneurysms as a cause of chronic low back pain. A series of 5 cases" 56 : 478-481, 2012

2 Tascilar K, "Vascular involvement in Behcet's syndrome: a retrospective analysis of associations and the time course" 53 : 2018-2022, 2014

3 "The International Criteria for Behcet's Disease (ICBD): a collaborative study of 27 countries on the sensitivity and specificity of the new criteria" 28 : 338-347, 2014

4 Bicer A, "Musculoskeletal findings in Behcet's disease" 2012 : 653806-, 2012

5 Alpagut U, "Major arterial involvement and review of Behcet's disease" 21 : 232-239, 2007

6 Macedo TA, "Infected aortic aneurysms: imaging findings" 231 : 250-257, 2004

7 Stone JR, "Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: I. Inflammatory diseases" 24 : 267-278, 2015

8 Singla V, "Chronic rupture of abdominal aortic aneurysm with vertebral erosion: an uncommon but important cause of back pain" 28 : 1931.e1-1931.e4, 2014

9 Alibaz-Oner F, "Behcet disease with vascular involvement: effects of different therapeutic regimens on the incidence of new relapses" 94 : e494-, 2015

10 Restrepo CS, "Aortitis: imaging spectrum of the infectious and inflammatory conditions of the aorta" 31 : 435-451, 2011