Pulmonary Thromboembolism and Intracardiac Thrombus as a Presentation of Behcet’s Disease

Behçet ́s disease is a multi systemic vasculitis whose presentation does not always meet the typical triad of orogenital ulceration, skin and ocular lesions. Right ventricular thrombus, thromboembolism and pulmonary artery aneurysms are rare manifestations and associated with poor prognosis. The authors describe the clinical case of a 38 year old man with multiple admissions for respiratory infection and erythema nodosum. A chest angiotomography revealed pulmonary thromboembolism and right ventricular thrombus, without other changes in laboratory tests. The patient did not take the prescribed oral anticoagulation and abandoned follow up, was admitted two years later with a similar clinic and recurrent oral ulceration. New thromboembolic and angiography showed aneurysmal dilatation of the pulmonary arteries. Behcet’s disease was diagnosed. Corticosteroid therapy was started with a good response after one month. *Corresponding author: Joana Neves, Interna de Formação Específica de Medicina Interna, Serviço Medicina II, Centro Hospitalar Baixo Vouga – Aveiro, Portugal, Tel: +49 6221 56 4582; E-mail: [email protected] Received November 05, 2013; Accepted December 09, 2013; Published December 11, 2013 Citation: Neves J, Andrade L, Saraiva A (2013) Pulmonary Thromboembolism and Intracardiac Thrombus as a Presentation of Behçet ́s Disease. J Pulm Respir Med 3: 162. doi:10.4172/2161-105X.1000162 Copyright: © 2013 Neves J, et al. This is an open-access article 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.