Can Behcet’s Disease Related Pulmonary Arterial Aneurysms be Completely Resolved?



Adnan Agha*, 1, Abdelhaleem M.E Bella 2, Al-Hussain M Assiri 1, Mohammad Al-Hakami 1
1 Armed Forces Hospital Southern Region, Khamis Mushyt, Kingdom of Saudi Arabia
2 King Fahad Hospital of the University, University of Dammam, AlKhobar, Kingdom of Saudi Arabia


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© Agha et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Internal Medicine, Armed Forces Hospital Southern Region, PO Box 101 Khamis Mushyt, Kingdom of Saudi Arabia; Tel: +966566880913; E-mail: adnanagha@hotmail.com


Abstract

Behçet disease is a systemic disease with diverse clinical symptoms which include, but not limited to, patients having oral and genital ulcers and eye involvement. We here report an 18-year-old male presenting with massive hemoptysis and cardiac arrest, having history of ulcers in the oral cavity and genitalia as well as having recent episode of uveitis. A pulmonary CT angiography revealed bilateral arterial aneurysms of pulmonary vessels. On receiving Immunosuppressive treatment for Behcet disease with prednisone and azathioprine over one year the pulmonary arterial aneurysms were completely resolved and the patient was discharged from the hospital albeit with persistent hypoxic brain injury from cardiac arrest.

Keywords: Behçet disease, vasculitis, pulmonary arterial aneurysm..