Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Behcet's Disease with Intracardiac Thrombus, Pulmonary Artery Aneurysm, and Pulmonary Infarction
- Radiologic Findings
- Chest radiograph shows several nodular opacities in right lung. On CT scans several small airspace consolidations in right lung subpleural areas, dilation of right interlobar artery with thrombus, and filling defects in right ventricle are seen. On echocardiogram, thrombi are seen in right atrium and right ventricle.
- Brief Review
- Behcet’s disease is a chronic multisystemic inflammatory disease of unknown etiology. Diagnosis requires the presence of oral ulcerations in addition to any two of four additional features: genital ulceration, ocular involvement, positive pathergy test, or skin manifestations. Intrathoracic manifestations of Behcet’s disease consist of thromboembolism of superior vena cava and/or other mediastinal veins, aneurysm of aorta and pulmonary arteries, pulmonary infarction and hemorrhage, pleural effusion, and rarely myocardial or pericardial involvement, cor pulmonale, and mediastinal and hilar lymphadenopathies. Intracardiac thrombus is a rare but serious complication of Behcet’s disease.
- References
- 1. Turnaci A, Berkmen YM, Gokmen E. Thoracic involvement in Behcet’s disease: pathologic, clinical, and imaging features. AJR 1995;164:51-56
2. Ahn JM, Im JG, Rhoo JW, et al. Thoracic manifestations of Behcet syndrome: radiographic and CT findings in nine patients. Radiology 1995; 194:199-203
3. Mogulkoc. N, Burgess MI, Bishop PW. Intracardiac thrombus in Behcet’s disease. A systemic review. Chest 2000;118:479-487
4. Erkan F, Gul A, Tasali E. Pulmonary manifestations of Behcet’s disease. Thorax 2001;56:572-578
- Keywords
- Vascular, Lung, Vasculitis,