Case Report ARTICLE
Behcet's disease with cerebral artery infarction caused by cerebral arteritis as the early symptom only with elevated interleukin-8.
- 1Qianfoshan Hospital, Shandong University, China
Background: Behcet’s disease (BD) is a multi-systemic vasculitis which generally characterized by oral and genital ulcers as well as ocular and skin lesions. There are only 5% of BD patients get neurological involvement and it usually occurs 4-6 years later after the initial symptoms. Early onset of neurological impairment makes it difficult to diagnose and treat definitely.
Case presentation: A 38-year-old man was admitted to our hospital with numbness and weakness of the left extremities. Diffusion MRI revealed focal infarction in the posterior limb of internal capsule. Skin pathology suggested small vessel vasculitis and high resolution magnetic resonance imaging revealed cerebral arteritis. He performed a negative skin pathery test but developed a scar at the venous puncture site for the intravenous fluid infusion at the early stage of disease. Laboratory examination showed the increase of IL-8. We treated the patient with an immunosuppressive agent mycophenolate mofetil (MMF), hydroxychloroquine and colchicine. Now, patients still insist on taking immunosuppressive agents, all symptoms were alleviated after treatment, rash decreased in the past six months, no acute stroke, no recurrence of oral ulcer.
Conclusion: This case demonstrates that neurological involvement might be the early symptom of Behcet’s disease, and IL-8 could act as a novel target for the treatment of BD theoretically, perhaps proving to be the key to recovery.
Keywords: Behcet’s disease, Neuro-Behcet’s disease, Cerebral Infarction, Cerebral arteritis, IL-8
Received: 04 Jun 2019;
Accepted: 01 Oct 2019.
Copyright: © 2019 Yin, Song, Zheng, Han and Tang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dr. Jiyou Tang, Qianfoshan Hospital, Shandong University, Jinan, China, email@example.com