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Pulmonary artery aneurysm in Behcet's disease: a case report
Erdem Kasikcioglu1, Hulya Akhan, Caglar Cuhadaroglu
1Istanbul Faculty of Medicine and Ersek Cardiovascular Center, Istanbul University, Istanbul, Turkey. ekasikcioglu@yahoo.com
Heart and Vessels
|May 29, 2004
Summary
Pulmonary artery aneurysms in Behcet
Area of Science:
- Vascular Medicine
- Rheumatology
- Radiology
Background:
- Behcet's disease is a rare multisystem inflammatory disorder.
- Pulmonary artery involvement is a significant but less common manifestation of Behcet's disease.
- Early diagnosis and monitoring are crucial for managing vascular complications.
Observation:
- A 32-year-old male presented with hemoptysis, edema, and abdominal discomfort.
- He had a history of recurrent oral and genital aphthous ulcerations.
- Diagnostic imaging revealed a left pulmonary artery aneurysm with thrombosis and enlarged hepatic veins.
Findings:
- Helical computed tomography (CT) effectively diagnosed a pulmonary artery aneurysm in a patient with Behcet's disease.
- Treatment with colchicine and cyclophosphamide led to a significant reduction in the pulmonary aneurysm size.
- Follow-up helical CT confirmed treatment efficacy and aneurysm regression.
Implications:
- Helical CT is a valuable tool for diagnosing and monitoring pulmonary involvement in Behcet's disease.
- This case highlights the importance of considering Behcet's disease in patients with unexplained vascular events.
- Effective management strategies can lead to favorable outcomes in Behcet's disease-related pulmonary artery aneurysms.