Key result
Immunomodulatory therapy achieves sustained remission in recurrent Behçet's disease myocarditis.
Why the study?
Myocarditis can closely mimic acute myocardial infarction in young patients without atherosclerotic risk factors, and recurrent myocarditis due to Behçet's disease is a rare and under-recognized cause.
Case Report (n=1)
No
Highlights Behçet's disease as a rare but treatable cause of recurrent myocarditis mimicking acute myocardial infarction in young patients, underscoring the diagnostic value of serial multimodal imaging.
May support colchicine-immunosuppression in Behçet's myocarditis; hypothesis-generating from single case, needs prospective validation.
Myocarditis can closely mimic acute myocardial infarction (AMI), particularly in young patients without atherosclerotic risk factors. We report a 27-year-old man with recurrent severe chest pai7n, transient ST-segment elevations, and markedly elevated high-sensitivity troponin-T, in whom coronary angiography was repeatedly normal. Serial cardiac magnetic resonance and 18F-fluorodeoxyglucose positron-emission tomography revealed a migratory pattern of myocardial inflammation, with new lesions emerging as earlier ones resolved, fulfilling criteria for recurrent myocarditis. Recurrent oral ulcers, folliculitis, arthralgias, and pathergy-like skin reactions raised suspicion for Behçet's disease. Treatment with vasodilators, colchicine, corticosteroids, and azathioprine produced sustained clinical and biochemical remission. This case highlights the importance of considering myocarditis in young patients with recurrent angina-like symptoms and normal coronaries, the value of serial multimodal imaging in detecting migratory inflammation, and the recognition of Behçet's disease as a rare underlying cause of recurrent myocarditis.
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Atta et al. (2026) conducted a case report in Recurrent myocarditis / Behçet's disease (n=1). Colchicine, corticosteroids, and azathioprine was evaluated on Clinical and biochemical remission. Treatment with colchicine, corticosteroids, and azathioprine produced sustained clinical and biochemical remission in a 27-year-old man with recurrent myocarditis secondary to Behçet's disease.
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