Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos

Arterial involvement in Behçet's disease (BD) is less common than venous lesions. The most commonly affected arteries are: the aorta, lower extremity arteries, mesenteric, femoral, coronary, renal, subclavian and pulmonary arteries. The rupture of pulmonary arteries is the main cause of death o...

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Autores principales:	Abarca,Macarena, Santamarina,Mario, Vergara,Cristián, Vega,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Acute Lung Injury Aneurysm Behcet Syndrome Pulmonary Artery
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400528
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spelling	oai:scielo:S0034-988720180004005282018-07-03Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicosAbarca,MacarenaSantamarina,MarioVergara,CristiánVega,Jorge Acute Lung Injury Aneurysm Behcet Syndrome Pulmonary Artery Arterial involvement in Behçet's disease (BD) is less common than venous lesions. The most commonly affected arteries are: the aorta, lower extremity arteries, mesenteric, femoral, coronary, renal, subclavian and pulmonary arteries. The rupture of pulmonary arteries is the main cause of death of patients with EB and the presence of aneurysms is a bad prognostic factor. We report two patients with arterial involvement in BD. A 14 years old male presenting with hemoptysis lasting three days. A chest computed tomography showed an aneurismal dilatation of the right interlobar artery, bilateral intramural thrombi and alveolar hemorrhage. A right lobar pulmonary resection was performed but hemoptysis recurred. Suspecting a BD, prednisone was started and hemoptysis subsided. A 42 years old male presenting with chest pain and hemoptysis. A chest CT scan showed thrombi in pulmonary veins and anticoagulant therapy was started. Two months later he was admitted again due to a massive hemoptysis. The CT scan showed aneurisms in pulmonary arteries, mural thrombi and pulmonary infarction. With the diagnosis of BD, methylprednisolone, followed by prednisone and cyclophosphamide were used, with a good clinical response.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.4 20182018-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400528es10.4067/s0034-98872018000400528
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Acute Lung Injury Aneurysm Behcet Syndrome Pulmonary Artery
spellingShingle	Acute Lung Injury Aneurysm Behcet Syndrome Pulmonary Artery Abarca,Macarena Santamarina,Mario Vergara,Cristián Vega,Jorge Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
description	Arterial involvement in Behçet's disease (BD) is less common than venous lesions. The most commonly affected arteries are: the aorta, lower extremity arteries, mesenteric, femoral, coronary, renal, subclavian and pulmonary arteries. The rupture of pulmonary arteries is the main cause of death of patients with EB and the presence of aneurysms is a bad prognostic factor. We report two patients with arterial involvement in BD. A 14 years old male presenting with hemoptysis lasting three days. A chest computed tomography showed an aneurismal dilatation of the right interlobar artery, bilateral intramural thrombi and alveolar hemorrhage. A right lobar pulmonary resection was performed but hemoptysis recurred. Suspecting a BD, prednisone was started and hemoptysis subsided. A 42 years old male presenting with chest pain and hemoptysis. A chest CT scan showed thrombi in pulmonary veins and anticoagulant therapy was started. Two months later he was admitted again due to a massive hemoptysis. The CT scan showed aneurisms in pulmonary arteries, mural thrombi and pulmonary infarction. With the diagnosis of BD, methylprednisolone, followed by prednisone and cyclophosphamide were used, with a good clinical response.
author	Abarca,Macarena Santamarina,Mario Vergara,Cristián Vega,Jorge
author_facet	Abarca,Macarena Santamarina,Mario Vergara,Cristián Vega,Jorge
author_sort	Abarca,Macarena
title	Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
title_short	Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
title_full	Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
title_fullStr	Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
title_full_unstemmed	Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos
title_sort	hemoptisis como manifestación inicial de la enfermedad de behçet. casos clínicos
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400528
work_keys_str_mv	AT abarcamacarena hemoptisiscomomanifestacioninicialdelaenfermedaddebehcetcasosclinicos AT santamarinamario hemoptisiscomomanifestacioninicialdelaenfermedaddebehcetcasosclinicos AT vergaracristian hemoptisiscomomanifestacioninicialdelaenfermedaddebehcetcasosclinicos AT vegajorge hemoptisiscomomanifestacioninicialdelaenfermedaddebehcetcasosclinicos
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Hemoptisis como manifestación inicial de la enfermedad de Behçet. Casos clínicos

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