Journal List > J Rheum Dis > v.20(1) > 1064090

Lee, Ahn, Hwang, Kim, Lee, Choi, Lee, Ji, and Song: A Case of Behcet's Disease Complicated with a Pulmonary Artery Aneurysm and Deep Vein Thrombosis, Separately

Abstract

Behcet'sdisease is a chronic inflammatory disease characterized by oral ulcers, genital ulcers, uveitis, and skin lesions. Furthermore, Behcet's disease can manifest as vascular lesions, such as, those of vasculitis, venous thrombosis, or thrombophlebitis or as an arterial aneurysm. Here, the authors report the case of a pulmonary artery aneurysm and deep vein thrombosis in a 41-year-old woman with a previous diagnosis of Behcet's disease. The patient presented with hemoptysis and a cough, and was found to have a bleeding pulmonary artery aneurysm at the right lower lung. Pulmonary arteriography was performed and the aneurysm was embolized with coils. As a result, hemoptysis did not subsequently recur. However, five years later, deep vein thrombosis occurred in the left leg. Left leg pain improved after the regional infusion of thromb-olytics.

References

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Figure 1.
Chest X-ray showing ill-defined increased opacity in the right lower lung.
jrd-20-52f1.tif
Figure 2.
Contrast computerized tomography (CT) scan of the thorax showing a round enhancing lesion, measuring 2.2×2.0 cm in size, in the right lower lung (arrow).
jrd-20-52f2.tif
Figure 3.
Pulmonary arteriograph showing Nester coils in the pulmonary artery aneurysm.
jrd-20-52f3.tif
Figure 4.
Lower extremity venograph showing a thrombus in the left popliteal vein and the catheter used for the peripheral venous approach.
jrd-20-52f4.tif
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