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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 9  |  Page : 2015-2017

Retinal vasculitis and skin ulcer preceding Budd–Chiari syndrome in a patient with Behcet's disease


Department of Vitreo-Retina and Uveitis, Sadguru Netra Chikitsalaya, Chitrakoot, Satna, Madhya Pradesh, India

Correspondence Address:
Dr. Gaurav Mohan Kohli
Department of Vitreo-Retina and Uveitis, Sadguru Netra Chikitsalaya, Chitrakoot, Satna - 210204, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1338_20

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Behcet's disease (BD) is a multisystem disorder with a classical triad of recurrent oral ulcers, genital ulcers, and uveitis. It involves both arterial and venous system which can lead to life-threatening complications. Both superficial and deep venous systems can be involved leading to peripheral skin lesions and devastating complications like cerebral venous thrombosis and Budd–Chiari syndrome (BCS). This report describes a case of an HLA B-52 positive BD in a 22-year-old woman who presented with retinal vasculitis and venous ulcer on the foot and later on developed ascites due to obstruction of supra-hepatic inferior vena cava (BCS). This report highlights the fact that BCS can develop in patients of BD and every ophthalmologist should be aware of this life-threatening complication while they are treating these patients, as timely diagnosis and intervention can prevent mortality.


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