A case of Behcet's bisease with pulmonary infarction.
- Author:
Yang Jin JEGAL
1
;
Hyun Kyu CHANG
;
Dae Sik RYU
;
Kyoung Sook WON
Author Information
1. Department of Internal Medicine, Kangnung Hospital, Kangnung, Korea.
- Publication Type:Case Report
- Keywords:
Behcet's syndrom;
Pulmonary embolism;
Vasculitis
- MeSH:
Adult;
Aneurysm;
Cerebral Infarction;
Chest Pain;
Chorioretinitis;
Colon;
Cough;
Cyclosporine;
Dyspnea;
Erythema;
Fever;
Hemoptysis;
Humans;
Lung Diseases;
Male;
Paresis;
Prednisolone;
Prognosis;
Pulmonary Artery;
Pulmonary Embolism;
Pulmonary Infarction*;
Skin;
Thrombosis;
Ulcer;
Uveitis;
Vasculitis
- From:Korean Journal of Medicine
2000;59(5):535-539
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Behcet's disease is a nonspecific vasculitis characterized by exacerbations and remissions of unpredictictable duration. The commom clinical features in most patients are orogenital ulcers, uveitis and skin lesions-especially erythema nodosum-like lesions or positive pathergy test. Among the systemic manifestations of Behcet's disease, pulmonary involvement is very rare and only a few cases have been documented. The main event of pulmonary involvement is vasculitis forming multilocular aneurysms and thrombosis of the pulmonary artery. The commom pulmonary manifestations are hemoptysis, dyspnea, pleuritic chest pain, cough and fever. The prognosis of pulmonary vasculitis is very poor. A 30-year-old male patient with Behcet's disease presented with fever and dyspnea for 10 days. In the past years, his vision of the left eye was lost due to chorioretinitis. He took right hemicolectomy because of the perforation of colonic ulcer. Also he has been suffered from left hemiparesis due to multiple cerebral infarction. We describe a case with Behcet's disease with pulmonary infarction improved with prednisolone and cyclosporine.
