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A 28-year-old Asian woman presented with pyrexia of unknown origin, oral and genital ulcers, and hemoptysis. A chest radiograph showed bilateral central hilar opacities (Panel A, arrows). A computed tomographic scan of the chest showed bilateral pulmonary-artery aneurysms with associated thickening of the vessel wall and contrast enhancement consistent with edema, which is likely to be associated with thrombosis (Panel B, arrows). The patient was given a diagnosis of Behçet's syndrome and was treated with prednisolone and pulse cyclophosphamide. A follow-up chest radiograph (Panel C), obtained 18 months after she began the immunosuppressive treatment, showed resolution of the pulmonary-artery aneurysms. . . . [Full Text of this Article] |
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