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Superior Vena Cava Syndrome as a Primary Manifestation of Behçet's Disease

A Case Report

Shimon Edelstein

Yeouda Edoute

Yeouda Edute, MD, PhD

Internal Medicine C Department Rambam Medical Center Technion-Israel Institute of Technology Haifa 31-096, POB 9602, Israel

Superficial thrombophlebitis is a common finding in Behçet's disease. However, the potential life-threatening complication of superior vena cava (SVC) syndrome due to thrombotic occlusion is a rare manifestation and usually occurs several years after the onset of the diagnosis. The authors describe a twenty-nine-year-old Arab man who had an acute thrombosis of the SVC as the presenting manifestation of his Behçet' s disease. The patient was successfully treated with thrombolytic and anticoagulant therapy, and during follow-up no relapse was observed. Behçet's disease should be suspected in young patients presenting with thrombosis of the SVC and without evidence of a hypercoagu lable state.

Angiology, Vol. 48, No. 4, 365-368 (1997)
DOI: 10.1177/000331979704800411


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