A case of Behcet's disease with pulmonary artery aneurysm and thrombosis

Abstract

A 22 year old patient with dyspnea, cough, chest pain, fatigue, mild fever and swelling of the lower extremities was hospitalized. Physical examination revealed bilateral decrease in respiratory sounds and end-inspiratory fine rales at the left posterobasal area. Circumferences of both legs were increased. During hospitalization period, oral aphthous and scrotal ulceration were appeared. Bilateral multiple peripheral and central pulmonary artery aneurysms at middle zones were found with dynamic computerized tomography of thorax and magnetic resonance angiography of the lungs. Patient was diagnosed as Behcet's disease with lung involvement. Magnetic resonance angiography performed at the sixth month of the treatment revealed a significant regression in aneurysmatic changes, whereas a right ventricular thrombosis had been developed.