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Pulmonary Involvement in Behçet’s Disease

Background: Behçet’s disease (BD) is a multisystem vasculitis and pulmonary involvement in BD is reported to indicate poor prognosis and high mortality. Objectives: The aims of this study were to report on patients with pulmonary involvement and to discuss pulmonary artery thrombus and small-sized v... Full description

Journal Title: Respiration 2008, Vol.75 (3), p.310-321
Main Author: Uzun, Oğuz
Other Authors: Erkan, Levent , Akpolat, Ilkser , Findik, Serhat , Atıcı, Atilla Güven , Akpolat, Tekin
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: Karger
ID: ISSN: 0025-7931
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recordid: cdi_pubmed_primary_17446699
title: Pulmonary Involvement in Behçet’s Disease
format: Article
creator:
  • Uzun, Oğuz
  • Erkan, Levent
  • Akpolat, Ilkser
  • Findik, Serhat
  • Atıcı, Atilla Güven
  • Akpolat, Tekin
subjects:
  • Adolescent
  • Adrenal Cortex Hormones - administration & dosage
  • Adult
  • Aneurysm - diagnostic imaging
  • Aneurysm - etiology
  • Aneurysms
  • Behcet Syndrome - complications
  • Behcet Syndrome - diagnostic imaging
  • Behcet Syndrome - drug therapy
  • Behcet Syndrome - pathology
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Cardiology. Vascular system
  • Clinical Investigations
  • Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
  • Female
  • Hemoptysis - etiology
  • Humans
  • Inflammatory diseases
  • Male
  • Medical sciences
  • Medical treatment
  • Middle Aged
  • Pneumology
  • Pulmonary Alveoli - diagnostic imaging
  • Pulmonary Artery - diagnostic imaging
  • Pulmonary Artery - pathology
  • Pulse Therapy, Drug
  • Respiratory system
  • Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
  • Thrombosis - diagnostic imaging
  • Thrombosis - etiology
  • Tomography, Spiral Computed
ispartof: Respiration, 2008, Vol.75 (3), p.310-321
description: Background: Behçet’s disease (BD) is a multisystem vasculitis and pulmonary involvement in BD is reported to indicate poor prognosis and high mortality. Objectives: The aims of this study were to report on patients with pulmonary involvement and to discuss pulmonary artery thrombus and small-sized vasculitis associated with BD, with respect to previously published cases. Methods: Fifteen patients with BD and pulmonary involvement were included in this study. Massive hemoptysis was observed in all patients having pulmonary artery aneurysm (PAA). Results: Eleven patients had macroscopic pulmonary vascular disease (2 PAA, 3 PAA and thrombi and 6 only thrombi) and 3 patients had microscopic pulmonary vascular disease. The remaining patient had pulmonary cryptococcosis. Conclusions: Data regarding treatment and outcomes of patients having BD-related pulmonary emboli/infarct and small-sized vasculitis are limited. Pulmonary vasculitis affects different levels of the pulmonary artery in BD and should be classified as macroscopic and microscopic vascular disease. ‘Pulmonary artery thrombosis’ should be used instead of ‘pulmonary emboli’. Spiral CT angiography is the best radiological tool for evaluation of pulmonary problems in BD. Treatment of vasculitis should be based on the type of vascular disease and may vary among different types of vascular disease. Anticoagulation can be used in patients with microscopic vascular disease and nonaneurysmal macroscopic vascular disease. More studies are needed to clarify this issue.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0025-7931
fulltext: fulltext
issn:
  • 0025-7931
  • 1423-0356
url: Link


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titlePulmonary Involvement in Behçet’s Disease
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creatorUzun, Oğuz ; Erkan, Levent ; Akpolat, Ilkser ; Findik, Serhat ; Atıcı, Atilla Güven ; Akpolat, Tekin
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descriptionBackground: Behçet’s disease (BD) is a multisystem vasculitis and pulmonary involvement in BD is reported to indicate poor prognosis and high mortality. Objectives: The aims of this study were to report on patients with pulmonary involvement and to discuss pulmonary artery thrombus and small-sized vasculitis associated with BD, with respect to previously published cases. Methods: Fifteen patients with BD and pulmonary involvement were included in this study. Massive hemoptysis was observed in all patients having pulmonary artery aneurysm (PAA). Results: Eleven patients had macroscopic pulmonary vascular disease (2 PAA, 3 PAA and thrombi and 6 only thrombi) and 3 patients had microscopic pulmonary vascular disease. The remaining patient had pulmonary cryptococcosis. Conclusions: Data regarding treatment and outcomes of patients having BD-related pulmonary emboli/infarct and small-sized vasculitis are limited. Pulmonary vasculitis affects different levels of the pulmonary artery in BD and should be classified as macroscopic and microscopic vascular disease. ‘Pulmonary artery thrombosis’ should be used instead of ‘pulmonary emboli’. Spiral CT angiography is the best radiological tool for evaluation of pulmonary problems in BD. Treatment of vasculitis should be based on the type of vascular disease and may vary among different types of vascular disease. Anticoagulation can be used in patients with microscopic vascular disease and nonaneurysmal macroscopic vascular disease. More studies are needed to clarify this issue.
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subjectAdolescent ; Adrenal Cortex Hormones - administration & dosage ; Adult ; Aneurysm - diagnostic imaging ; Aneurysm - etiology ; Aneurysms ; Behcet Syndrome - complications ; Behcet Syndrome - diagnostic imaging ; Behcet Syndrome - drug therapy ; Behcet Syndrome - pathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Clinical Investigations ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Hemoptysis - etiology ; Humans ; Inflammatory diseases ; Male ; Medical sciences ; Medical treatment ; Middle Aged ; Pneumology ; Pulmonary Alveoli - diagnostic imaging ; Pulmonary Artery - diagnostic imaging ; Pulmonary Artery - pathology ; Pulse Therapy, Drug ; Respiratory system ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Thrombosis - diagnostic imaging ; Thrombosis - etiology ; Tomography, Spiral Computed
ispartofRespiration, 2008, Vol.75 (3), p.310-321
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1Erkan, Levent
2Akpolat, Ilkser
3Findik, Serhat
4Atıcı, Atilla Güven
5Akpolat, Tekin
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descriptionBackground: Behçet’s disease (BD) is a multisystem vasculitis and pulmonary involvement in BD is reported to indicate poor prognosis and high mortality. Objectives: The aims of this study were to report on patients with pulmonary involvement and to discuss pulmonary artery thrombus and small-sized vasculitis associated with BD, with respect to previously published cases. Methods: Fifteen patients with BD and pulmonary involvement were included in this study. Massive hemoptysis was observed in all patients having pulmonary artery aneurysm (PAA). Results: Eleven patients had macroscopic pulmonary vascular disease (2 PAA, 3 PAA and thrombi and 6 only thrombi) and 3 patients had microscopic pulmonary vascular disease. The remaining patient had pulmonary cryptococcosis. Conclusions: Data regarding treatment and outcomes of patients having BD-related pulmonary emboli/infarct and small-sized vasculitis are limited. Pulmonary vasculitis affects different levels of the pulmonary artery in BD and should be classified as macroscopic and microscopic vascular disease. ‘Pulmonary artery thrombosis’ should be used instead of ‘pulmonary emboli’. Spiral CT angiography is the best radiological tool for evaluation of pulmonary problems in BD. Treatment of vasculitis should be based on the type of vascular disease and may vary among different types of vascular disease. Anticoagulation can be used in patients with microscopic vascular disease and nonaneurysmal macroscopic vascular disease. More studies are needed to clarify this issue.
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1Adrenal Cortex Hormones - administration & dosage
2Adult
3Aneurysm - diagnostic imaging
4Aneurysm - etiology
5Aneurysms
6Behcet Syndrome - complications
7Behcet Syndrome - diagnostic imaging
8Behcet Syndrome - drug therapy
9Behcet Syndrome - pathology
10Biological and medical sciences
11Blood and lymphatic vessels
12Cardiology. Vascular system
13Clinical Investigations
14Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
15Female
16Hemoptysis - etiology
17Humans
18Inflammatory diseases
19Male
20Medical sciences
21Medical treatment
22Middle Aged
23Pneumology
24Pulmonary Alveoli - diagnostic imaging
25Pulmonary Artery - diagnostic imaging
26Pulmonary Artery - pathology
27Pulse Therapy, Drug
28Respiratory system
29Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
30Thrombosis - diagnostic imaging
31Thrombosis - etiology
32Tomography, Spiral Computed
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1Adrenal Cortex Hormones - administration & dosage
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3Aneurysm - diagnostic imaging
4Aneurysm - etiology
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6Behcet Syndrome - complications
7Behcet Syndrome - diagnostic imaging
8Behcet Syndrome - drug therapy
9Behcet Syndrome - pathology
10Biological and medical sciences
11Blood and lymphatic vessels
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13Clinical Investigations
14Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
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16Hemoptysis - etiology
17Humans
18Inflammatory diseases
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20Medical sciences
21Medical treatment
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23Pneumology
24Pulmonary Alveoli - diagnostic imaging
25Pulmonary Artery - diagnostic imaging
26Pulmonary Artery - pathology
27Pulse Therapy, Drug
28Respiratory system
29Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
30Thrombosis - diagnostic imaging
31Thrombosis - etiology
32Tomography, Spiral Computed
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abstractBackground: Behçet’s disease (BD) is a multisystem vasculitis and pulmonary involvement in BD is reported to indicate poor prognosis and high mortality. Objectives: The aims of this study were to report on patients with pulmonary involvement and to discuss pulmonary artery thrombus and small-sized vasculitis associated with BD, with respect to previously published cases. Methods: Fifteen patients with BD and pulmonary involvement were included in this study. Massive hemoptysis was observed in all patients having pulmonary artery aneurysm (PAA). Results: Eleven patients had macroscopic pulmonary vascular disease (2 PAA, 3 PAA and thrombi and 6 only thrombi) and 3 patients had microscopic pulmonary vascular disease. The remaining patient had pulmonary cryptococcosis. Conclusions: Data regarding treatment and outcomes of patients having BD-related pulmonary emboli/infarct and small-sized vasculitis are limited. Pulmonary vasculitis affects different levels of the pulmonary artery in BD and should be classified as macroscopic and microscopic vascular disease. ‘Pulmonary artery thrombosis’ should be used instead of ‘pulmonary emboli’. Spiral CT angiography is the best radiological tool for evaluation of pulmonary problems in BD. Treatment of vasculitis should be based on the type of vascular disease and may vary among different types of vascular disease. Anticoagulation can be used in patients with microscopic vascular disease and nonaneurysmal macroscopic vascular disease. More studies are needed to clarify this issue.
copBasel, Switzerland
pubKarger
pmid17446699
doi10.1159/000101954
tpages12