A Case of Behcet Disease Characterized by the Appearance of a Mass in the Lungs


Ozyurt S. , Karatas M. , Kara B. , Sahin U.

JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, vol.8, pp.64-66, 2017 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 8
  • Publication Date: 2017
  • Doi Number: 10.4328/jcam.4984
  • Title of Journal : JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE
  • Page Numbers: pp.64-66

Abstract

A 42-year-old male patient was admitted to the hospital with a cough, hemoptysis, and complaints of pain in his right shoulder and chest for 10 days. The patient had intermittent fever 38 degrees C with chills. Laboratory results were: leucocytes:21.1 K/uL, platelets:564 K/uL, hemoglobin:13.8 g/dl, C-reactive protein: 8.61, and erythrocyte sedimentation rate: 104 mm/h. Physical examination was normal. The patient had a history of smoking 30 packets/year and Behcet disease (BD) for seven years. Chest radiography showed an increased density on the right paratracheal area. Thorax computed tomography (TCT) revealed a lobulated mass lesion 55x34 mm on the upper lobe of the right lung. Bronchoscopy was performed but neither a mass nor a bleeding focus was detected. A CT-guided transthoracic fine-needle aspiration biopsy was performed. The pathological examination was reported as ''necrotizing vasculitis.'' These results were compatible with pulmonary involvement of the BD. Immunosuppressive therapy was initiated; after 2 months, a control TCT was within normal limits.