Caspian Journal of Internal Medicine (Jul 2017)

Hughes-Stovin syndrome revealing the presence of Behçet’s Disease

  • Melek Kechida,
  • Sondes Yaacoubi,
  • Ahmed Zrig,
  • Walid Jomaa,
  • Rim Klii,
  • Sonia Hammami,
  • Ines Khochtali

Journal volume & issue
Vol. 8, no. 4
pp. 332 – 334

Abstract

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Background: Hughes-Stovin Syndrome (HSS) is a rare clinical disorder characterized by deep venous thrombosis and multiple pulmonary and/or bronchial aneurysms. Aneurysms in systemic circulation can also be seen. Case presentation: We report the first case of HSS with aortic aneurysm in a 55-year-old man who initially presented with deep venous thrombosis. The diagnosis of HSS revealing Behçet’s disease was made given the history of recurrent oral and genital ulcers. Treatment consisted of 3 daily pulses of methylprednisolone (1g) followed by oral prednisone (1mg/kg daily) and 6 monthly pulses of cyclophosphamide. Oral anticoagulation treatment was  held  3 months and then was stopped with good outcome. Conclusion: Systemic aneurysms in Hughes Stovin is a worth knowing complication which may reveal Behçet’s disease.

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