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Pulmonary involvement in Behcet disease

P Grenier, O Bletry, F Cornud

AJR. American Journal of Roentgenology

|September 1, 1981

Summary

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Pulmonary involvement in Behcet disease can manifest as infiltrates and opacities on chest X-rays, sometimes leading to excavation or pleural rupture. Pulmonary angiography reveals widespread arterial occlusions and aneurysms, with potential for hemoptysis or favorable outcomes with treatment.

Area of Science:

Radiology
Pulmonology
Rheumatology

Background:

Behcet disease is a rare multisystemic inflammatory disorder.
Pulmonary manifestations are uncommon but can be severe.
Understanding the radiologic findings is crucial for diagnosis and management.

Purpose of the Study:

To describe the diverse radiologic appearances of pulmonary involvement in Behcet disease.
To correlate imaging findings with clinical outcomes.
To highlight the utility of chest radiography and pulmonary angiography.

Main Methods:

Retrospective review of chest radiographs and pulmonary angiograms in six patients with Behcet disease.
Analysis of imaging findings including infiltrates, opacities, excavation, pleural rupture, arterial occlusions, and aneurysms.

Related Experiment Videos

Correlation of imaging findings with clinical course and treatment response.

Main Results:

Chest radiographs showed infiltrates/opacities, with excavation or pleural rupture in some cases; findings often resolved over time.
Pulmonary angiography revealed widespread pulmonary artery occlusions and aneurysms in most patients.
Two patients with aneurysms died of hemoptysis; one showed favorable response to treatment with aneurysm resolution and arterial recanalization.

Conclusions:

Pulmonary involvement in Behcet disease presents with varied radiologic findings on chest X-ray and angiography.
Pulmonary artery aneurysms are a significant finding associated with high risk of fatal hemoptysis.
Prompt diagnosis and appropriate medical management can lead to favorable outcomes, including aneurysm resolution.