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An adolescent with Behçet's disease presented after an episode of violent coughing with the sudden appearance of a pulsatile mass on his neck (figure 1A). Since childhood, he had been treated with a coumarin derivative (international normalised ratio at admission: 3.2) after cavernous sinus thrombosis and detection of heterozygous mutations in the …
Funding JW's work is supported by the Deutsche Forschungs Gemeinschaft (DFG), research scholarship WI 4300/1-1.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.