肱骨动脉瘤揭示结核与behaperet病的罕见关联

R. Ayari, Ramy Triki, Y. Mallat, A. Abdennadher, K. Amri, R. Amri, Mohamed Ali Sbai
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摘要

由肱骨动脉动脉瘤显示的肺结核和behaperet病的关联是一个特殊的复杂的处理。我们报告一个病例,这两种情况同时发生血管并发症,除了任何使用免疫抑制治疗,这在文献中从未报道过。我们报告一个极其罕见的病例自发性破裂的动脉瘤的肱骨动脉的一个29岁的女人,没有历史。患者行腋窝-肱骨搭桥术。调查结论为behaperet病合并肺和淋巴结结核。抗结核化疗后给予皮质类固醇、免疫抑制剂和秋水仙碱。基于这一观察,我们坚持有必要搜索behaperet病的症状存在动脉受累时,有一个年轻的病人。治疗管理必须包括药物治疗,以控制炎症和限制复发的风险。如果动脉受累有危险,则需要血管内或手术治疗。与结核病的关联使管理复杂化,需要密切监测。
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Humeral Artery Aneurysm Revealing a Rare Association between Tuberculosis and Behçet’s Disease
The association of pulmonary tuberculosis and Behçet’s disease revealed by an aneurysm of the humeral artery is exceptional with a complicated management. We report a case in which the two conditions occurred concomitantly with the vascular complication, apart from any use of immunosuppressive therapy, something that has never been reported in the literature. We report an extremely rare case of a spontaneous rupture of an aneurysm of the humeral artery of a 29-year-old woman, with no history. The patient underwent axillo-humeral bypass. Investigations concluded the diagnosis of Behçet’s disease associated with pulmonary and lymph node tuberculosis. Anti-tuberculous chemotherapy followed by corticosteroids, immunosuppressants and colchicine have been administrated. Based on this observation, we insist on the necessity of searching the symptoms of Behçet’s disease in the presence of arterial involvement when having a young patient. Therapeutic management must include medical treatment to control inflammation and limit the risk of recurrence. Endovascular or surgical treatment is necessary if the arterial involvement is threatening. The association with tuberculosis complicates management and requires close monitoring.
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Study of Various Chemically and Structurally Diverse Currently Clinically Used and Recently Developed Antimycobacterial Drugs Humeral Artery Aneurysm Revealing a Rare Association between Tuberculosis and Behçet’s Disease
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