Diagnostics (Nov 2022)

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

  • Caterina Giannessi,
  • Olga Smorchkova,
  • Diletta Cozzi,
  • Giulia Zantonelli,
  • Elena Bertelli,
  • Chiara Moroni,
  • Edoardo Cavigli,
  • Vittorio Miele

DOI
https://doi.org/10.3390/diagnostics12112868
Journal volume & issue
Vol. 12, no. 11
p. 2868

Abstract

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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.

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