Behçet-like Disease Associated with Myelodysplastic Syndrome with 5q Deletion and Monosomy 7 Complicated by Meningeal and Pulmonary Involvement: A Case Report
摘要
Systemic inflammatory and autoimmune diseases and myelodysplastic syndrome (MDS) have been linked in patients. No previous reports exist of complications with non-infectious meningeal involvement in Behçet-like disease associated with MDS.
Case PresentationHerein, we describe a rare case of Behçet-like disease associated with MDS, with 5q deletion and monosomy 7, complicated by meningeal and pulmonary involvement. A 69-year-old man presented with intermittent fever, headache and bloody mucous stools. After hospitalisation, the patient developed oral and intestinal ulcers, peripheral blood blasts, progressive thrombocytopenia and respiratory failure. The patient was diagnosed with Behçet-like disease associated with MDS. The patient was administered steroids and antimicrobials. Fever resolved and respiratory status improved, but his ADLs declined due to exhaustion.
ConclusionTreatment in such cases should be individualised; however, further research is required.