Med Bull Sisli Etfal Hosp. 2010; 44(4): 168-170

Pulmonary artery aneurysms in behcet disease: a case report with multislice computed tomography

Çaðrý Þenyücel
Department of Radiology, Kýrýkkale University, Faculty of Medicine, Kýrýkkale

Behcet’s disease is a multisystem disorder of unknown cause that is characterized by vasculitis. Pulmonary vascular problems such as pulmonary artery aneurysms due to Behcet’s disease are reported to indicate poor prognosis and high mortality. We describe a 19-year-old man who presented with hemoptysis. He had a history of recurrent oral and genital aphthous ulcerations for 15 months. The diagnosis of Behcet’s disease was made on the basis of the criteria published by the International Study Group for Behcet’s Disease. His chest X-ray showed bilateral hilar enlargement. A multislice computed tomography (CT) scan showed bilateral multiple pulmonary aneurysm with intramural thrombosis Multislice CT could be used successfully in Behcet’s disease for the diagnosis of pulmonary involvement.

Keywords: Behcet disease, pulmonary artery, aneurysm, computed tomography

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Behçet hastalýðýnda pulmoner arter anevrizmalarý: Çok kesitli bilgisayarlý tomografi ile bir olgu sunumu

Çaðrý Þenyücel
Kýrýkkale Üniversitesi Týp Fakültesi Radyoloji Anabilim Dalý, Kýrýkkale

Behçet Hastalýðý vaskülit ile karakterize, nedeni bilinmeyen multisistemik bir hastalýktýr. Behçet hastalýðýna baðlý pulmoner arter anevrizmasý gibi pulmoner vasküler problemler, kötü prognozu ve yüksek mortaliteyi göstermek amacý ile bildirilmiþtir. Hemoptizi þikayeti ile baþvuran 19 yaþýndaki erkek hastayý sunduk. Hastanýn 15 aydýr tekrarlayan oral ve genital aft hikayesi vardý. Uluslararasý Behçet Hastalýðý Çalýþma Grubu kriterlerine göre Behçet hastalýðý tanýsý konuldu. Akciðer grafisinde bilateral hiler geniþleme izlendi. Çok kesitli Bilgisayarlý Tomografi (BT) incelemesinde intramural tombüs içeren çok sayýda iki taraflý pulmoner anevrizma görüldü. Çok kesitli BT, Behçet hastalýðýndaki pulmoner tutulumu göstermede baþarýyla kullanýlabilir.

Anahtar Kelimeler: Behçet hastalýðý, pulmoner arter, anevrizma, bilgisayarlý tomografi

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