Thoracic Complications in Behçet’s Disease: Imaging Findings

Ödev, Kemal; Tunç, Recep; Varol, Salih; Aydemir, Harun; Yilmaz, Pınar; Korkmaz, Celalettin

doi:10.1155/2020/4649081

Cited by 9 publications

(8 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MRI can detect aneurysms of the aorta and pulmonary arteries ( Figure 1 and Figure 2 ). Despite MRI being less sensitive than CTPA in identifying small lung vascular aneurysms, the advantages of MRI are connected to its use in allergic patients or those with renal failure, through the use of sequences where blood flow can be enhanced without contrast material injection [ 30 , 31 ].…”

Section: Imaging Approach To Thoracic Involvement In Behcet’s Diseasementioning

confidence: 99%

Behçet’s Disease: A Radiological Review of Vascular and Parenchymal Pulmonary Involvement

et al. 2022

View full text Add to dashboard Cite

Behcet’s disease (BD) is a chronic systemic inflammatory disorder characterized by underlying chronic vasculitis of both large- and small-caliber vessels. Thoracic involvement in BD can occur with various types of manifestations, which can be detected with contrast-enhanced MSCT scanning. In addition, MR can be useful in diagnosis. Characteristic features are aneurysms of the pulmonary arteries that can cause severe hemoptysis and SVC thrombosis that manifests as SVC syndrome. Other manifestations are aortic and bronchial artery aneurysms, alveolar hemorrhage, pulmonary infarction, and rarely pleural effusion. Achieving the right diagnosis of these manifestations is important for setting the correct therapy and improving the patient’s outcome.

show abstract

Section: Imaging Approach To Thoracic Involvement In Behcet’s Diseasementioning

confidence: 99%

Behçet’s Disease: A Radiological Review of Vascular and Parenchymal Pulmonary Involvement

et al. 2022

View full text Add to dashboard Cite

show abstract

“…BD associated with SVCS can be caused by internal thrombus, [6][7][8][9] besides that thickening of SVC wall has also been described in some literatures. 10,11 In this patient, the thickening of venous wall and thrombus were both observed, which obstructed the lumen of SVC together.…”

Section: Discussionmentioning

confidence: 95%

“…SVC syndrome (SVCS) can be caused by obstruction of SVC either by internal thrombus or extrinsic compression 5 . BD associated SVCS due to vasculopathy with or without evidence of thrombus, has been described respectively a few times in different literatures 6–11 . However, the thickening of SVC wall and thrombus have not been reported in a case of SVCS with BD.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment for Behcet's disease with acute superior vena cava syndrome

Zhang

Wang

Zhang

et al. 2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Background and Aim of the Study Behcet's disease (BD) is a multisystem vasculitis with unknown etiology. The involvement of superior vena cava (SVC) is reported in less than 2% of patients with BD. Methods We report a patient with acute edema of neck and face associated with dyspnea as the primary manifestation. So a diagnosis of superior Vena Cava syndrome (SVCS) was made and the thickening wall of SVC was resected. An Operation was performed under cardiopulmonary bypass to remove the mass and thrombus for avoiding for pulmonary embolism. Results The diagnosis of Behcet's disease (BD) didn't not be made until the recurrent oral and genital ulceration occurred 2 weeks later. The patient taked aspirin and prednisolone orally as prescribed and no recurrence were observed during the 30 months follow‐up. Conclusions BD should be suspected in patients presenting with SVCS, when there is thickening of SVC, whether thrombosis or not. Early diagnosis and treatment are essential for management of BD.

show abstract

“…(MR) angiography (MRA) have replaced conventional angiography to diagnose PAI [ 3 , 4 ]. Some authors believe that CTA is more sensitive than MRA in demonstrating particularly small pulmonary artery aneurysm (PAA) [ 1 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Some authors believe that CTA is more sensitive than MRA in demonstrating particularly small pulmonary artery aneurysm (PAA) [ 1 , 5 ]. CT scan can also demonstrate the entire spectrum of thoracic manifestations as well as PAI in BD [ 3 - 6 ]. Moreover, reformatted images and three-dimensional reconstructions are essential to guide endovascular treatment or to prepare surgery.…”

Section: Introductionmentioning

confidence: 99%

Imaging Features of Thoracic Manifestations of Behçet’s Disease: Beyond Pulmonary Artery Involvement

Yazgan

Ertürk²,

Taşkın

2021

CMIR

View full text Add to dashboard Cite

Background: Behçet’s disease is a chronic multisystemic vasculitis affecting vessels of differing size in various organs. Thoracic manifestations of disease show wide spectrum involving a variety of anatomic structure within the chest. However, pulmonary artery involvement is a typical manifestation of disease that contributes significantly to mortality in patients. The study aimed to analyze CT features of thoracic manifestations, particularly pulmonary artery involvement, and to quantitatively assess bronchial arteries in Behçet’s disease. Methods: Patients with Behçet’s disease who underwent CT scans for suspected thoracic involvement between 2010 and 2018 were included. CT findings of 52 patients were retrospectively analyzed for thoracic manifestations of the disease. Bronchial arteries were assessed regarding diameter in patients with/without pulmonary artery involvement. The pulmonary symptoms were noted. Results: Of the 52 patients, 67% had thoracic manifestations including pulmonary artery involvement, parenchymal changes, superior vena cava thrombosis, and intracardiac thrombus. Pulmonary artery involvement was observed in 50% of the cohort. Peripheral pulmonary arteries (77%) were the most commonly affected branches, followed by lobar (42%) and central (35%) pulmonary arteries. Other thoracic findings were significantly correlated with pulmonary artery involvement (p<0.05). Compared to patients without pulmonary artery involvement, those with pulmonary artery involvement had a higher bronchial artery diameter (p<0.05) and occurrence rate of dilated bronchial arteries. Conclusion: Involvement of peripheral pulmonary arteries is frequently encountered in Behçet’s disease and it can resemble pulmonary nodules. Dilated bronchial arteries, which can be observed in cases of pulmonary artery involvement, should be considered in patients with hemoptysis.

show abstract

Thoracic Complications in Behçet’s Disease: Imaging Findings

Cited by 9 publications

References 71 publications

Behçet’s Disease: A Radiological Review of Vascular and Parenchymal Pulmonary Involvement

Behçet’s Disease: A Radiological Review of Vascular and Parenchymal Pulmonary Involvement

Surgical treatment for Behcet's disease with acute superior vena cava syndrome

Imaging Features of Thoracic Manifestations of Behçet’s Disease: Beyond Pulmonary Artery Involvement

Contact Info

Product

Resources

About