Quick recovery was seen over the next 3 days with liver function tests returning to normal. Histopathologic report of resected aorta showed lymphocytic vasculitis and thrombus formation. Prednisolone, cyclophosphamide and Warfarin were initiated, and the patient was discharged on the 7th post-operative day. On follow-up, he was in an excellent condition. Symptoms of vascular involvement are not always present or visible, and may result in delayed diagnosis.
Adjuvant immunotherapy is required to control relapses and subsequent new aneurysm formation.
Corticosteroid therapy may accelerate wound healing and improve the general conditions of the patients. Anticoagulants are generally used to limit thrombus extension but long-term treatment may not prevent further problems including aneurysm formation. Multiple aneurysms in Beh et's disease. Chronic Arterial Occlusion Associated with Beh et's Disease.