Fatal Thoracic Aortic Aneurysm in a Patient with Childhood-onset Vasculo-Behcet's Disease: An Autopsy Report.

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  • YAZAWA Shogo
    the Departments of Neurology, Miyazaki Prefectural Hospital of Nobeoka the Division of Neurology, Department of Internal Medicine, Miyazaki Medical College
  • ISHIHARA Akira
    the Departments of Clinical Pathology of Central Laboratory, Miyazaki Prefectural Hospital of Nobeoka
  • KAWASAKI Shoichiro
    the Departments of Neurology, Miyazaki Prefectural Hospital of Nobeoka

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A 33-year-old man died following sudden unexpected rupture of a saccular thoracic aortic aneurysm. The patient had been treated as suspicious Behçet's disease (BD) for 9 years, however, the medication was discontinued at the age of 24. Autopsy disclosed multiple aneurysms at the descending thoracic and abdominal aorta. Histopathologically, infiltration of inflammatory cells and destruction with loss of elastic and muscle fibers of the aortic medial wall were seen. Taking the clinical course into account, all the postmortem findings were compatible with those of vasculo-BD. It is important that medical follow-up should be implemented even for childhood-onset patients who do not satisfy criteria of BD.<br>(Internal Medicine 40: 1154-1157, 2001)

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  • Internal Medicine

    Internal Medicine 40 (11), 1154-1157, 2001

    一般社団法人 日本内科学会

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