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A Case of Vasculo:Behçet's Disease with Pulmonary Infarction Yutaka Hirokawa 1 , Tetsuri Kondo 1 , Yoshiaki Ono 1 , Noriharu Yanagimachi 2 , Yasuyo Ohta 1 1Department of Internal Medicine, Tokai University School of Medicine 2Department of Radiology, Tokai University School of Medicine Keyword: 血痰 , Behçet病 , 肺梗塞 , hemosputum , Behçet's disease , pulmonary infarction pp.1213-1216
Published Date 1995/12/15
DOI https://doi.org/10.11477/mf.1404901166
  • Abstract
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A 17 years-old male had complained of hemosputumfor 6 months. He had had recurrent episodes of oral ulcers since he was 11 years old. He also had been operated on for hemorrhoids at 12 and had presented bilateral lower limb swelling and recurrent skin rash since the age of 14. At 16 he presented genital ulcera-tion. Chest X-ray films showed a round opacity in the left lower lung fields. The pulmonary scintigraphy revealed a defect in the left lower lobe. The pulmonary angiography demonstrated several areas of arterial stenosis and occlusion of the left pulmonary artery branches. The venogram demonstrated many collateral vessels in both lower extremities and obstruction of the supeior vena cava. The lumen of the superior vena cava was observed by the angiofiberscopy that showed adhe-sion of the vessel wall at the point of obstructionwithout any thrombus.

During hospitalization, oral ulcer, folliculitis and uveitis appeared. From these findings he was then diagnosed as having vasculo-Behçet's disease. This case had the peculiar presentation of throboembolic symptoms preceding the major features of Behçet's disease. We supposed that, in this case, the origin of the thrombus that provoked the peripheral thromboembolic episodes was in the pulmonary arteries. This is a very rare case of complete vasculo-Behçet's disease with pulmonary infarction.


Copyright © 1995, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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