Chest pain in a patient with polyarteritis nodosa and Behcet's disease; myocardial infarction or aortic dissection?

• Published in: Turkish journal of internal medicine (Online) Vol. 3; no. 3; pp. 141 - 144
• Main Authors: ASIL, Serkan, TAŞKAN, Hatice, MURAT, Ender, EŞKİ, Selen, YÜKSEL, Uygar Çağdaş
• Format: Journal Article
• Language: English
• Published: Nizameddin KOCA 29-07-2021
• Subjects: aortic dissection; behcet’s disease; polyarteritis nodosa; vasculitis
• ISSN: 2687-4245; 2687-4245
• DOI: 10.46310/tjim.854261

Aortic diseases have high mortality and are usually late or misdiagnosed. Especially in patients with inflammatory vasculitis, diagnosis is often confused with other causes of chest pain and this causes a delay in diagnosis. Vascular complications are the most important predictors of mortality and morbidity in Behcet’s disease and also polyarteritis nodosa. The diagnosis of aortitis is usually obtained by vascular imaging, but partly made only by biopsy on occasion of an operation. Here we present a case of pathologically proven fatal aortitis and aortic dissection in a patient with Polyarteritis nodosa and Behcet's disease.