Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492006000300010
Jornal Vascular Brasileiro
Case Report

Aneurisma de artéria poplítea como manifestação da doença de Behçet descompensada

Popliteal artery aneurysm as a manifestation of decompensated Behçet's disease

Gabriel Salum D'Alessandro; Rafael Forti Machietto; Simone Martins da Silva; Walter Campos Jr.; Cláudio Jamil Akel; Renato Murilo Etchebehere; Roberta Murasaki Cardoso; Nilo Mitsuru Izukawa

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Resumo

A doença de Behçet consiste em uma vasculite sistêmica que acomete veias, artérias e capilares, mas predominantemente pequenos vasos. Raramente há o envolvimento de veias e artérias de médio e grande calibre, sendo as artérias menos acometidas que as veias. No presente trabalho, os autores apresentam um relato de caso de aneurisma da artéria poplítea em um paciente com a doença de Behçet descompensada. Discutem-se os aspectos clínicos e radiológicos e o manejo cirúrgico dos pacientes com essa doença inflamatória sistêmica que apresentam peculiaridades importantes.

Palavras-chave

Síndrome de Behçet, aneurisma, artéria poplítea

Abstract

Behçet's disease consists of a systemic vasculitis that affects veins, arteries and capillaries, but predominantly small vessels. Veins and medium- and large-caliber arteries are rarely involved; however, arteries are less involved than veins. In this paper the authors present a case of popliteal artery aneurysm in a patient with decompensated Behçet's disease. We discuss clinical, radiological and surgical aspects of patients with this inflammatory systemic disease who present important peculiarities.

Keywords

Behçet's syndrome, aneurysm, popliteal artery

References

Lakhanpal S, Tani K, Lie JT, Katoh K, Ishigatsubo Y, Ohokubo T. Pathologic features of Behçet's syndrome: a review of Japanese autopsy registry data. Hum Pathol.. 1985;16:790-5.

Behçet H. Üeber rezidivierende Aphtose durch ein vírus verursachte Geschwüre am Mund, am Auge und an den Genitalien. Dermatol Wochenschr.. 1937;105:1152-7.

Hasan A, Fortune F, Wilson A. Role of gamma delta T cells in pathogenesis and diagnosis of Behçet's disease. Lancet. 1996;347:789-94.

Suzuki Kurokawa M, Suzuki N. Behcet's disease. Clin Exp Med.. 2004;4:10-20.

Kuzu MA, Ozaslan C, Koksoy C, Gurler A, Tuzuner A. Vascular involvement in Behçet's disease: 8-year audit. World J Surg.. 1994;18:948-53.

Criteria for diagnosis of Behcet's disease: International Study Group for Behcet's Disease. Lancet. 1990;335:1078-80.

Iscan ZH, Vural KM, Bayazit M. Compelling nature of arterial manifestations in Behcet disease. J Vasc Surg.. 2005;41:53-8.

Matsumoto T, Uekusa T, Fukuda Y. Vasculo-Behçet's disease: a pathologic study of eight cases. Hum Pathol.. 1991;22:45-51.

Hamza M. Large artery involvement in Behcet's disease. J Rheumatol.. 1987;14:554-9.

Koc Y, Gullu I, Akpek G. Vascular involvement in Behcet's disease. J Rheumatol.. 1992;19:402-10.

al-Dalaan AN, al Balaa SR, el Ramahi K. Behcet's disease in Saudi Arabia. J Rheumatol.. 1994;21:658-61.

Tohme A, Aoun N, El-Rassi B, Ghayad E. Vascular manifestations of Behcet's disease: Eighteen cases among 140 patients. Joint Bone Spine. 2003;70:384-9.

Ozeren M, Mavioglu I, Dogan OV, Yucel E. Reoperations results of arterial involvement in Behcet's disease. Eur J Vasc Endovasc Surg.. 2000;20:512-9.

Kural-Seyahi E, Fresko I, Seyahi N. The long-term mortality and morbidity of Behcet's syndrome: a 2-decade outcome survey of 387 patients followed at a dedicated center. Medicine (Baltimore). 2003;82:60-76.

Calamia KT, Cohen MD, O'Duffy JD. Large vassel involovment in Behcet's disease. Proceedings. 1998.

Kaklamani VG, Tzonou A, Markomichelakis N, Papazoglou S, Kaklamanis PG. The effect of smoking on the clinical features of Adamantiades-Behcet's disease. Adv Exp Med Biol.. 2003;528:323-7.

Ceyran H, Akcali Y, Kahraman C. Surgical treatment of vasculo-Behcet's disease: A review of patients with concomitant multiple aneurysms and venous lesions. Vasa. 2003;32:149-53.

Kobayashi M, Ito M, Nakagawa A. Neutrophil and endothelial cell activation in the vasa vasorum in vasculo-Behcet disease. Histopathology. 2000;36:362-71.

Ozeren M, Dogan OV, Dogan S, Yucel E. True and pseudo aneurysms of coronary arteries in a patient with Behcet's disease. Eur J Cardiothorac Surg.. 2004;25:465-7.

Le Thi Huong D, Wechsler B, Papo T. Arterial lesions in Behcet's disease: A study in 25 patients. J Rheumatol.. 1995;22:2103-13.

Yazici H, Basaran G, Hamuryudan V. The ten-year mortality in Behcet's syndrome. Br J Rheumatol.. 1996;35:139-41.

Hosaka A, Miyata T, Shigematsu H. Long-term outcome after surgical treatment of arterial lesions in Behcet disease. J Vasc Surg.. 2005;42:116-21.

Saba D, Saricaoglu H, Bayram AS. Arterial lesions in Behcet's disease. Vasa. 2003;32:75-81.

Tuzun H, Besirli K, Sayin A. Management of aneurysms in Behcet's syndrome: an analysis of 24 patients. Surgery. 1997;121:150-6.

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