Diagnosing Behçet's disease in the presence of pulmonary artery aneurysm and systemic symptoms: A case report.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL SAGE Open Medical Case Reports Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI:10.1177/2050313X241282383
Ali Bani Odah, Ameer Awashra, Zaid Sawaftah, Ahmed Sawafta, Omar Sawafta, Jehad Khamaysa, Mohammed Abdalqader, Yazan Ghannam
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Abstract

Behçet's disease is a chronic inflammatory disorder that often presents with a triad of uveitis, oral aphthous ulcers, and genital ulcerations, along with systemic manifestations such as vascular involvement. We report a case of a 36-year-old male with a significant smoking history who presented with recurrent hemoptysis and a progressive cough, leading to the diagnosis of Behçet's disease. Physical examination and imaging studies revealed aphthous and genital ulcerations, erythematous nodules, and a pulmonary artery aneurysm. Elevated inflammatory markers supported the diagnosis and treatment with methylprednisolone and infliximab resulted in clinical improvement. The management of pulmonary artery aneurysm in Behçet's disease includes both medical and interventional strategies, with endovascular interventions like coil embolization being crucial for managing life-threatening hemoptysis or aneurysm rupture.

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诊断伴有肺动脉瘤和全身症状的贝赫切特病:病例报告。
贝赫切特病是一种慢性炎症性疾病,通常表现为葡萄膜炎、口腔阿弗他溃疡和生殖器溃疡三联征,并伴有血管受累等全身表现。我们报告了一例 36 岁男性患者的病例,该患者有明显的吸烟史,因反复咯血和进行性咳嗽而被诊断为贝赫切特病。体格检查和影像学检查发现了口疮和生殖器溃疡、红斑结节和肺动脉瘤。炎症标志物升高支持了诊断,使用甲泼尼龙和英夫利昔单抗治疗后,临床症状有所改善。贝赫切特病肺动脉瘤的治疗包括药物治疗和介入治疗两种策略,血管内介入治疗(如线圈栓塞)对于控制危及生命的大咯血或动脉瘤破裂至关重要。
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来源期刊
SAGE Open Medical Case Reports
SAGE Open Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
0.00%
发文量
320
审稿时长
8 weeks
期刊介绍: SAGE Open Medical Case Reports (indexed in PubMed Central) is a peer reviewed, open access journal. It aims to provide a publication home for short case reports and case series, which often do not find a place in traditional primary research journals, but provide key insights into real medical cases that are essential for physicians, and may ultimately help to improve patient outcomes. SAGE Open Medical Case Reports does not limit content due to page budgets or thematic significance. Papers are subject to rigorous peer review and are selected on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, SAGE Open Medical Case Reports facilitates the discovery of the connections between papers, whether within or between disciplines. Case reports can span the full spectrum of medicine across the health sciences in the broadest sense, including: Allergy/Immunology Anaesthesia/Pain Cardiovascular Critical Care/ Emergency Medicine Dentistry Dermatology Diabetes/Endocrinology Epidemiology/Public Health Gastroenterology/Hepatology Geriatrics/Gerontology Haematology Infectious Diseases Mental Health/Psychiatry Nephrology Neurology Nursing Obstetrics/Gynaecology Oncology Ophthalmology Orthopaedics/Rehabilitation/Occupational Therapy Otolaryngology Palliative Medicine Pathology Pharmacoeconomics/health economics Pharmacoepidemiology/Drug safety Psychopharmacology Radiology Respiratory Medicine Rheumatology/ Clinical Immunology Sports Medicine Surgery Toxicology Urology Women''s Health.
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