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Clinical Medical
Image Library ISSN: 2474-3682
IMAGE ARTICLE | VOLUME 2, ISSUE 8 | OPEN ACCESS DOI: 10.23937/2474-3682/1510057

Aortic Branch Aneurysm in the Patient with Behcet's Disease

Katsuhisa Miyake , Naoko Ueki and Hitoshi Nakashima

Department of Internal Medicine, Fukuoka University, Japan

*Corresponding author: Katsuhisa Miyake, Department of Internal Medicine, Division of Nephrology and Rheumatology, School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonann-ku, Fukuoka 814-0180, Japan, Tel: 8192-8011-011, E-mail: kmiyake@fukuoka-u.ac.jp

Published: November 25, 2016

Citation: Miyake K, Ueki N, Nakashima H (2016) Aortic Branch Aneurysm in the Patient with Behcet's Disease. Clin Med Img Lib 2:057. doi.org/10.23937/2474-3682/1510057

Copyright: © 2016 Miyake K, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

A 35-year-old male patient presented with fever. Chest X-ray revealed a mass lesion in right upper field (Figure 1). The enhanced pulmonary CT showed the aneurysm and occlusion of left subclavian artery (Figure 2). The value of CRP increased to 2.88 mg/dl. The result of bacterial blood culture was negative. He has no episodes of hypertension and diabetic mellitus. He has had an oral aphtha, a nephelopia, an erythema nodosum and a genital pain. His types of HLA are B51 and A26. He was diagnosed as Behcet's disease with vasculitis. The vascular system is involved in 25-30% of patients with Behcet's disease [1]. Arterial manifestations of the disease involve aneurysm formation (65%) and occlusions (35%) [2]. When an aortic aneurysm is observed, it is necessary to pay attention to the clinical symptoms of Behcet's disease.

 

Figure 1: Chest X-ray showing a mass lesion (arrow) near the aortic arch in the left upper field.

Figure 2: Enhanced CT image showing the aneurysm and occlusion of left subclavian artery (arrow).

References

  1. Kabbaj N, Benjelloun G, Gueddari FZ, Dafiri R, Imani F (1993) Vascular involvements in Behcet disease. Based on 40 patient records. J Radiol 74: 649-656.

  2. Hiller N, Lieberman S, Chajek-Shaul T, Bar-Ziv J, Shaham D (2004) Thoracic manifestations of Behcet disease at CT. Radiographics 24: 801-808.