A Case of Behçet’s Disease with Pulmonary Artery Aneurysm and Deep Venous Thrombosis

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Introduction: Behçet’s disease is a multisystemic disorder characterized by recurrent orogenital ulcers, ocular manifestations, and skin lesions. It is more prevalent in men of young age. Here we describe a patient with Behçet’s disease of cardiovascular and chest symptoms.
Case Report: A 22-year-old man presented with recurrent abdominal fullness, left flank pain and dysuria and came to our hospital. Chest computed tomography showed severe thrombosis involving the inferior vena cava, bilateral iliac, left renal veins and also the pulmonary artery with aneurysm formation. He underwent inferior vena caval thrombectomy and filtering, and started oral anticoagulant therapy. However, intermittent hemoptysis drove him to the hospital again after six months. The persistence of pulmonary arterial thrombosis and development of pulmonary hemorrhage were noted. Further examinations revealed that he had Behçet’s disease.
Discussion: Behçet’s disease primarily involves four main systems: the cardiovascular, chest, gastrointestinal and central nervous systems. Complications in the cardiovascular system may affect arteries and veins of differing sizes in various organs. Inflammation of the arteries can lead to wall thickening and aneurysm formation, whereas inflammation of the veins results in thrombosis. Chest manifestations affect about 1-8% of patients, which represent multiple and bilateral pulmonary arteritis and thrombosis resulting in infarction, hemorrhage, and focal atelectasis. Differential diagnosis of pulmonary arteritis in young patients includes ANCA-associated vasculitides and Takayasu’s arteritis. Behçet’s disease may resolve with corticosteroids, immunosuppressants and colchicine. Anticoagulant therapy and surgery are not recommended for risk of complications and recurrence.
Translated title of the contribution一貝歇氏症候群案例併肺動脈瘤及深部靜脈栓塞
LanguageEnglish
Title of host publicationRSROC2018中華民國放射線醫學會
Publication statusPublished - 2018

Fingerprint

Behcet Syndrome
Venous Thrombosis
Pulmonary Artery
Aneurysm
Thrombosis
Thorax
Arteritis
Lung
Cardiovascular System
Anticoagulants
Veins
Eye Manifestations
Arteries
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
Hemorrhage
Inflammation
Flank Pain
Dysuria
Takayasu Arteritis
Thrombectomy

Cite this

A Case of Behçet’s Disease with Pulmonary Artery Aneurysm and Deep Venous Thrombosis. / Chiang, Yu; Lai, Hsin-Yi; Lan, Gong-Yau.

RSROC2018中華民國放射線醫學會. 2018.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

@inproceedings{9a09130bab344c9b8cb5c19335e0fa65,
title = "A Case of Beh{\cc}et’s Disease with Pulmonary Artery Aneurysm and Deep Venous Thrombosis",
abstract = "Introduction: Beh{\cc}et’s disease is a multisystemic disorder characterized by recurrent orogenital ulcers, ocular manifestations, and skin lesions. It is more prevalent in men of young age. Here we describe a patient with Beh{\cc}et’s disease of cardiovascular and chest symptoms.Case Report: A 22-year-old man presented with recurrent abdominal fullness, left flank pain and dysuria and came to our hospital. Chest computed tomography showed severe thrombosis involving the inferior vena cava, bilateral iliac, left renal veins and also the pulmonary artery with aneurysm formation. He underwent inferior vena caval thrombectomy and filtering, and started oral anticoagulant therapy. However, intermittent hemoptysis drove him to the hospital again after six months. The persistence of pulmonary arterial thrombosis and development of pulmonary hemorrhage were noted. Further examinations revealed that he had Beh{\cc}et’s disease.Discussion: Beh{\cc}et’s disease primarily involves four main systems: the cardiovascular, chest, gastrointestinal and central nervous systems. Complications in the cardiovascular system may affect arteries and veins of differing sizes in various organs. Inflammation of the arteries can lead to wall thickening and aneurysm formation, whereas inflammation of the veins results in thrombosis. Chest manifestations affect about 1-8{\%} of patients, which represent multiple and bilateral pulmonary arteritis and thrombosis resulting in infarction, hemorrhage, and focal atelectasis. Differential diagnosis of pulmonary arteritis in young patients includes ANCA-associated vasculitides and Takayasu’s arteritis. Beh{\cc}et’s disease may resolve with corticosteroids, immunosuppressants and colchicine. Anticoagulant therapy and surgery are not recommended for risk of complications and recurrence.",
author = "Yu Chiang and Hsin-Yi Lai and Gong-Yau Lan",
year = "2018",
language = "English",
booktitle = "RSROC2018中華民國放射線醫學會",

}

TY - GEN

T1 - A Case of Behçet’s Disease with Pulmonary Artery Aneurysm and Deep Venous Thrombosis

AU - Chiang, Yu

AU - Lai, Hsin-Yi

AU - Lan, Gong-Yau

PY - 2018

Y1 - 2018

N2 - Introduction: Behçet’s disease is a multisystemic disorder characterized by recurrent orogenital ulcers, ocular manifestations, and skin lesions. It is more prevalent in men of young age. Here we describe a patient with Behçet’s disease of cardiovascular and chest symptoms.Case Report: A 22-year-old man presented with recurrent abdominal fullness, left flank pain and dysuria and came to our hospital. Chest computed tomography showed severe thrombosis involving the inferior vena cava, bilateral iliac, left renal veins and also the pulmonary artery with aneurysm formation. He underwent inferior vena caval thrombectomy and filtering, and started oral anticoagulant therapy. However, intermittent hemoptysis drove him to the hospital again after six months. The persistence of pulmonary arterial thrombosis and development of pulmonary hemorrhage were noted. Further examinations revealed that he had Behçet’s disease.Discussion: Behçet’s disease primarily involves four main systems: the cardiovascular, chest, gastrointestinal and central nervous systems. Complications in the cardiovascular system may affect arteries and veins of differing sizes in various organs. Inflammation of the arteries can lead to wall thickening and aneurysm formation, whereas inflammation of the veins results in thrombosis. Chest manifestations affect about 1-8% of patients, which represent multiple and bilateral pulmonary arteritis and thrombosis resulting in infarction, hemorrhage, and focal atelectasis. Differential diagnosis of pulmonary arteritis in young patients includes ANCA-associated vasculitides and Takayasu’s arteritis. Behçet’s disease may resolve with corticosteroids, immunosuppressants and colchicine. Anticoagulant therapy and surgery are not recommended for risk of complications and recurrence.

AB - Introduction: Behçet’s disease is a multisystemic disorder characterized by recurrent orogenital ulcers, ocular manifestations, and skin lesions. It is more prevalent in men of young age. Here we describe a patient with Behçet’s disease of cardiovascular and chest symptoms.Case Report: A 22-year-old man presented with recurrent abdominal fullness, left flank pain and dysuria and came to our hospital. Chest computed tomography showed severe thrombosis involving the inferior vena cava, bilateral iliac, left renal veins and also the pulmonary artery with aneurysm formation. He underwent inferior vena caval thrombectomy and filtering, and started oral anticoagulant therapy. However, intermittent hemoptysis drove him to the hospital again after six months. The persistence of pulmonary arterial thrombosis and development of pulmonary hemorrhage were noted. Further examinations revealed that he had Behçet’s disease.Discussion: Behçet’s disease primarily involves four main systems: the cardiovascular, chest, gastrointestinal and central nervous systems. Complications in the cardiovascular system may affect arteries and veins of differing sizes in various organs. Inflammation of the arteries can lead to wall thickening and aneurysm formation, whereas inflammation of the veins results in thrombosis. Chest manifestations affect about 1-8% of patients, which represent multiple and bilateral pulmonary arteritis and thrombosis resulting in infarction, hemorrhage, and focal atelectasis. Differential diagnosis of pulmonary arteritis in young patients includes ANCA-associated vasculitides and Takayasu’s arteritis. Behçet’s disease may resolve with corticosteroids, immunosuppressants and colchicine. Anticoagulant therapy and surgery are not recommended for risk of complications and recurrence.

M3 - Conference contribution

BT - RSROC2018中華民國放射線醫學會

ER -