ISSN 2147-9720 | E-ISSN 2148-4279
Case Report
A missed Behçet’s case presenting with spontaneous epidural hematoma
1 Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey  
2 Department of Rheumatology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey  
3 Department of Physical Medicine and Rehabilitation, Koç University Faculty of Medicine, İstanbul, Turkey  
Eur J Rheumatol 2015; 2: 167-168
DOI: 10.5152/eurjrheum.2015.0011
Key Words: Behçet’s disease, spinal epidural hematoma, anticoagulants

Spinal vascular events related to Behçet’s disease are relatively uncommon. Deep vein thrombosis is the most frequent vascular involvement. Anticoagulant therapy is a debated issue in Behçet’s disease. In this case report, we present a patient with a delayed diagnosis of Behçet’s disease after development of cervical epidural hematoma following anticoagulant therapy due to deep venous thrombosis. Anticoagulant therapy without immunosuppressive therapy leading to uncontrolled systemic inflammation may be the cause of spinal epidural hematoma. On the other hand, epidural vascular involvement as a vasculitic manifestation of Behçet’s disease in conjunction with anticoagulant therapy may have predisposed to spontaneous bleeding via increased fragility or microaneurysms in epidural arteries. In this case report, the importance of a multidisciplinary approach to Behçet’s disease is emphasized.

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