We present this rare case of bilateral renal artery involvement due to Behçet's disease (BD) vasculitis to attract the attention of clinicians. BD is a chronic autoimmune vasculitis affecting multiple organ systems. BD causes recurrent oral and genital aphthous ulcers, uveitis, papulopustular lesions, gastrointestinal ulcers, neurologic disease, vasculitis, and arthritis. We report the case of a 56-year-old male patient with 20 years of BD who developed renal artery thrombosis, diagnosed with acute renal failure, hypertension, abdominal bruit, and thoracoabdominal computed tomography angiography images showing bilateral renal artery thrombosis. Our patient was treated with steroids, colchicine, clopidogrel, antihypertensives, and infliximab infusions with clinical and laboratory improvement. Due to active inflammation, radiologic intervention was delayed until remission. We present this case of rare bilateral renal artery vasculitis to the attention of clinicians who take care of BD patients every day.
Akcan et al. (2026) studied this question.