Vascular Involvement of Behçet’s Disease

Takeno, Mitsuhiro; Ideguchi, Haruko; Suda, Arnold J.; Kamiyama, Reikou; Ishigatsubo, Yoshiaki

doi:10.1007/978-4-431-54487-6_5

Cited by 6 publications

(15 citation statements)

References 115 publications

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“…Deep-vein thrombosis is the most common vascular lesion and prevalent in the lower extremities. 336,337 More serious venous lesions such as superior vena cava syndrome, Budd-Chiari syndrome, and cerebral venous sinus thrombosis can occur. 336,338…”

Section: Signs and Symptoms ▋ 21 Deep-vein Thrombosismentioning

confidence: 99%

“…336,337,339 Peripheral aneurysms, which are often at risk of rupture and bleeding, are multiple in the one-third of the patients. 336,340 An arterial occlusion causes the local ischemic symptoms.…”

Section: ▋ 22 Aneurysms and Arterial Occlusionmentioning

confidence: 99%

“…Rupture of pulmonary artery aneurysm causes fatal hemoptysis. 336,341 The pulmonary lesions are commonly complicated with pre-existing deep-vein thrombosis. Frequency of the lesions is low in Japanese patients compared with the other regions.…”

Section: ▋ 23 Pulmonary Artery Involvementmentioning

confidence: 99%

“…Pulmonary Lesions Pulmonary artery aneurysms are examined by chest CT scan after screening of chest radiography. Lung perfusion scintigraphy is helpful to detect occlusive lesions in the pulmonary vessels 336,341.…”

mentioning

confidence: 99%

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JCS 2017 Guideline on Management of Vasculitis Syndrome　― Digest Version ―

Isobe

Amano

Arimura

et al. 2020

Circ J

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AAV ANCA-associated vasculitis ACR American College of Rheumatology ADA adalimumab ANCA anti-neutrophil cytoplasmic antibody AZA azathioprine bDMARDs biologic disease-modifying anti-rheumatic drugs c-ANCA cytoplasmic ANCA CG cryoglobulin CHCC Chapel Hill Consensus Conference Cr creatinine CT computed tomography CRP C-reactive protein CyA cyclosporine CV cryoglobulinemic vasculitis CY cyclophosphamide DMARDs disease-modifying anti-rheumatic drugs * a The aorta and its primary branches corresond to the aorta (ascending, arch, thoracic descending, abdominal descending), primary branches of the aorta (including the coronary artery), and pulmonary artery. * b Multiple lesions are defined as those that involve two or more of the above arteries or sites or two or more segments of the aorta. * c Hypertrophic lesions are detected by ultrasonography (macaroni sign of the common carotid artery), contrast-enhanced CT, contrastenhanced MRI (circumferential contrast enhancement of the arterial wall), and PET-CT (circumferential FDG uptake of the arterial wall). * d Stenotic lesions and dilated lesions are detected by chest radiography (wave-like deformation of the descending aorta), CT angiography, MR angiography, echocardiography (aortic insufficiency), and angiography. They are accompanied by dilatation of the ascending aorta and frequently also by aortic insufficiency. In the chronic stage, circumferential calcification of the arterial wall is visualized by CT, and the development of collateral circulation is detected by CT angiography and MR angiography Points of attention in imaging diagnosis: Contrast-enhanced CT is performed in the late phase of contrast enhancement. CT angiography is performed in the early phase of contrast enhancement with 3-dimensional image processing. Angiography is usually performed when other procedures such as endovascular treatment and coronary artery angiography or left ventriculography are simultaneously intended. C. Conditions to be included in the differential diagnoses of Takayasu arteritis Arteriosclerosis, congenital vascular anomaly, inflammatory abdominal aortic aneurysm, infectious aneurysm, syphilitic mesaortitis, giant cell arteritis (temporal arteritis), vascular Behçet's disease, IgG4-related diseases. Definite: At least 1 of the items in A + any of the conditions in B are observed, and conditions in C can be excluded.

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Section: Signs and Symptoms ▋ 21 Deep-vein Thrombosismentioning

confidence: 99%

Section: ▋ 22 Aneurysms and Arterial Occlusionmentioning

confidence: 99%

Section: ▋ 23 Pulmonary Artery Involvementmentioning

confidence: 99%

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JCS 2017 Guideline on Management of Vasculitis Syndrome　― Digest Version ―

Isobe

Amano

Arimura

et al. 2020

Circ J

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“…Pulmonary artery involvement causes pulmonary artery aneurysm (PAA), one of the most important complications of BD, and pulmonary artery thrombosis (PAT) with or without PAA [17,[48][49][50]. In a large series of 2500 patients performed retrospectively by Seyahi et al [50] pulmonary artery involvement (PAI) was identified in 47 patients.…”

Section: Pulmonary Artery Involvementmentioning

confidence: 99%

Thoracic Complications in Behçet’s Disease: Imaging Findings

Ödev

Tunç

Varol

et al. 2020

Canadian Respiratory Journal

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Behçet’s disease (BD) causes vascular inflammation and necrosis in a wide range of organs and tissues. In the thorax, it may cause vascular complications, affecting the aorta, brachiocephalic arteries, bronchial arteries, pulmonary arteries, pulmonary veins, capillaries, and mediastinal and thoracic inlet veins. In BD, chest radiograph is commonly used for the initial assessment of pulmonary symptoms and complications and for follow-up and establishment of the response to treatment. With the advancement of helical or multislice computed tomography (CT) technologies, such noninvasive imaging techniques have been employed for the diagnosis of vascular lesions, vascular complications, and pulmonary parenchymal manifestations of BD. CT scan (especially, CT angiography) has been used to determine the presence and severity of pulmonary complications without resorting to more invasive procedures, in conjunction with gadolinium-enhanced three-dimensional (3D) gradient-echo magnetic resonance (MR) imaging with the subtraction of arterial phase images. These radiologic methods have characteristics that are complementary to each other in diagnosis of the thoracic complications in BD. 3D ultrashort echo time (UTE) MR imaging (MRI) could potentially yield superior image quality for pulmonary vessels and lung parenchyma when compared with breath-hold 3D MR angiography.

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