Aneurismas pulmonares associados a trombose na doença de Behçet: um relato de caso
DOI:
https://doi.org/10.47456/rbps.v26isupl_1.44394Keywords:
Doença de Behçet, Aneurisma de artéria pulmonar, Trombose artéria pulmonarAbstract
caracterizada por crises recorrentes de úlceras orais e genitais, além de envolvimento cutâneo, oftálmico, do sistema nervoso central, gastrointestinal e vascular. Outras manifestações podem ocorrer mais raramente, como aneurisma de artéria pulmonar e trombose em artéria pulmonar. Relato de Caso: Relatamos o caso de uma mulher que apresentou dispneia e hemoptise secundárias a aneurismas de artéria pulmonar e trombose na artéria pulmonar causado pela doença de Behçet como primeiras manifestações clínicas. Conclusão: A anticoagulação na trombose pulmonar, sem o uso de imunossupressores em pacientes com doença de Behçet, pode levar a um desfecho desfavorável, pois a vasculite subjacente não será tratada. A suspeita clínica desta condição tem implicações prognósticas, especialmente nas apresentações atípicas, enfatizando a relevância do tema exemplificado neste relato de caso.
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References
Yurdakul S, Hamuryudan V, Fresko I, et al. Behcet’s syndrome. In: Hochberg MC, Silman AJ, Smolen JS, et al., editors. Rheuma¬tology. 5th ed. Philadelphia: Mosby Elsevier; 2011. p. 1575-81.
Balta S, Balta I, Ozturk C, Celik T, Iyisoy A. Behçet’s disease and risk of vascular events. Curr Opin Cardiol. 2016;31(4):451-7.
Erkan F, Gül A, Tasali E. Pulmonary manifestations of Behçet’s disease. Thorax. 2001 Jul;56(7):572-8.
Ikizoglu G, et al. An Adolescent Presented with Hemoptysis: Pulmonary Artery Aneurysm in Pediatric Behçet’s Disease. Arch Rheumatol. 2020 Jun;35(2):283-6.
Xing W, Swaminathan G, Raj Appadorai D, Sule AA. A rare case of Behçet disease presenting with pyrexia of unknown origin, pulmonary embolism and right ventricular thrombus. Int J Angiol. 2013;22:193–8.
Tascilar K, Melikoglu M, Ugurlu S, et al. Vascular involvement in Behcet’s syndrome: a retrospective analysis of associations and the time course. Rheumatology. 2014 Nov;53(11):2018-22.
Hatemi G, Christensen R, Bang D, et al. Update of EULAR rec¬ommendations for the treatment of Behçet disease. Ann Rheum Dis. 2018;77:808–18.
Slavin RE, deGroot WJ. Pathology of the lung in Behçet dis¬ease: case report and review of literature. Am J Surg Pathol. 1981;5:779-88.
Tunaci A, Berkmen T, Gokmen E. Thoracic involvement in Behçet’s disease: pathologic, clinical and imaging features. AJR Am J Roentgenol. 1995 Jan;164(1):51-6.
Hamza M. Large artery involvement in Behçet’s disease. J Rheu¬matol. 1987;14:554-9.
Lee JM, Ahn J, Hwang YJ, et al. A case of Behcet’s disease com¬plicated with a pulmonary artery aneurysm and deep vein thrombosis, separately. J Rheum Dis. 2013;20(1):52-5.
Uzun O, Akpolat T, Erkan L. Pulmonary vasculitis in Behçet’s disease: a cumulative analysis. Chest. 2005 Jun;127(6):2243-53.
Abuzaina S, Pempeci S, Argüder E, Karalezli A, Hasanoğlu HC. Behcet’s disease presenting with pulmonary thromboembolism. Tuberk Toraks. 2020;68(3):337-41.
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