Korean J Med.
2014 Jan;86(1):65-69. 10.3904/kjm.2014.86.1.65.
A Case of Recovered Atrioventricular Conduction in Behcet Disease after Immunotherapy
- Affiliations
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- 1Korea Association of Health Promotion, Western Seoul Branch, Seoul, Korea.
- 2Division of Cardiology, Department of Internal Medicine, Armed Forces Capital Hospital, Seongnam, Korea. kimss2866@yuhs.ac
- 3Division of Cardiology, Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 4Division of Rheumatology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- KMID: 1867319
- DOI: http://doi.org/10.3904/kjm.2014.86.1.65
Abstract
- Atrioventricular conduction disturbance is a rare clinical manifestation of Behcet disease. We describe a case in which a 48-year-old man complaining of dyspnea on exertion presented with complete atrioventricular block with junctional escape rhythm caused by Behcet disease. He also had moderate aortic regurgitation and mitral regurgitation. MRI and PET scan revealed inflammatory changes involving the ventricular septum and the ascending aorta. Recovery of atrioventricular conduction and improvement of valvular regurgitation were achieved with immunotherapy. Timely diagnosis and treatment of cardiac Behcet disease can prevent unnecessary pacemaker implantation.
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