Deep venous thrombosis in a patient with Behçet's disease and homozygous prothrombin (factor II) G20210A mutation on oral contraceptive pills

Rheumatol Int. 2006 Jun;26(8):758-9. doi: 10.1007/s00296-005-0048-5. Epub 2005 Sep 28.

Abstract

Behçet's disease (BD) is a multisystemic disease of unknown aetiology characterized by chronic relapsing oral aphthous lesions, genital ulcers, uveitis, and vasculopathy of both arteries and veins of all sizes. We present the case of a female patient, with BD on oral contraceptive pills, who sustained deep venous thrombosis of the long saphenous vein. The patient was found to be a carrier of a homozygous mutation of the prothrombin (factor II) G20210A gene. Our case suggests that a thrombophilia work-up may be warranted in BD patients, especially young women before they are prescribed oral contraceptives.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Behcet Syndrome / genetics*
  • Contraceptives, Oral / adverse effects*
  • Female
  • Homozygote
  • Humans
  • Mutation*
  • Prothrombin / genetics*
  • Venous Thrombosis / genetics*

Substances

  • Contraceptives, Oral
  • Prothrombin