A recurrent right heart thrombus in a patient with Behcet's disease

We report the case of a patient who was admitted to the immunology unit of our medical facility. The patient had a history of recurrent oral ulcers, l ow-grade fever, weight loss, and fatigue. Echocardiographic examination rev ealed a right ventricular mass that was initially thought to be a myxoma in an unusual location, and the patient was sent to surgery. Surgery revealed the mass to be a thrombus. After 5 months of anticoagulation therapy, the patient was readmitted to our institution with the same complaints, and a r ight atrial thrombus was found on echocardiographic examination. After a ca reful reevaluation of the patient's history and episodes of recurrent oral and genital ulcers, as well as the papulopustular lesions found on his firs t admission to hospital, Behcet's disease was diagnosed. The patient receiv ed thrombolytic therapy with a regression of thrombus, and continued with i mmunosuppressive and anticoagulation therapy. Five months later, echocardio graphic examination showed complete disappearance of thrombus.