TITLE:
The Behcet’s Disease: An Uncommon Cause of Venous Thrombosis in the Tropical Area: 10 Cases
AUTHORS:
B. C. Fall, A. C. Ndao, S. Sarr, M. Dieng, S. Ndongo, A. Leye, A. Pouye
KEYWORDS:
Behcet’s Disease, Thrombosis, Senegal
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.7 No.4,
December
28,
2017
ABSTRACT: Introduction: The Behcet’s disease is deemed
to be scarce in Black Africa where data are still scattered. The purpose of our
study is to describe the epidemiological, clinical, paraclinic and evolutive
particularities of the patients whose presenting symptoms of the Behcet’s diseases were a venous thrombosis. Patients
and Methods: It was a descriptive,
multicenter, and cross-sectional study lasting 15 months. We brought
together all the cases of the Behcet’s disease revealed by venous thrombosis.
The diagnosis was based on clinical criteria of the international group of
study of the Behcet’s disease in 2007. Results: We have grouped 10
revealing thrombosis cases of the Behcet’s diseases during our study period.
The average age was 34. The
average wait period between the appearances of the early symptoms and the
diagnosis of the very disease was 30 months. The admission motives were the
abdominal pain (2 cases), a thrombophlebitis of the lower limb (2 cases),
headaches (1 case), coma (1 case), a thrombophlebitis of the upper limb (3 cases).
The thrombotic symptoms were exclusively venous-located. The seats of the
thrombosis were the vena cava superior in 30% of the cases, the vena cava
inferior in 20% of the cases, the veins of the lower limb in 20% of the cases,
the cerebral vein in 20% of the cases, and the auxiliary vein in 10% of the
cases. The treatment of the deep venous thrombosis consisted in all the cases
of an effective anticoagulation associated with the colchicine. Primarily, the
corticotherapy with a high dose was used in all the patients. One of them in
the comatose stage, manifesting both cerebral thrombophlebitis and aseptic
meningitis, had died. Conclusion: Behcet’s disease is a disease of the
young adult, but it must be evoked even in old age, with a view to appropriate
management, in order to avoid the complications
of the disease. Although it is rare in our regions, it should be sought in the
etiological assessment of venous thrombosis whatever the location.