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[白塞病中的肺动脉瘤:5例影像学表现]

[Pulmonary artery aneurysms in Behçet's disease: contribution of imaging in 5 cases].

作者信息

Hassine Elyès, Bousnina Sophia, Marniche Kamel, Fennira Hammouda, Ben Khelil Jalila, Ben Mustapha Mohamed Ali, Megdiche Mohamed Lamine, Chabbou Abdellatif

机构信息

Service de Pneumologie, Hôpital Abderrahmen Mami, 2080 Ariana, Tunisie.

出版信息

Ann Med Interne (Paris). 2002 May;153(3):147-52.

Abstract

Pulmonary involvement in Behçet's disease is an uncommon condition (12%). Thromboembolism of the superior vena cava and/or other mediastinal veins, aneurysms of the aorta and pulmonary arteries are the main vascular manifestations in addition to pulmonary infarct and intrathoracic hemorrhage. Despite their scarcity, respiratory symptoms may be life-threatening. The aim of this study was to assess the contribution of thoracic imaging for one of the most serious aspects of the disease: pulmonary artery aneurysm. We report five patients with pulmonary artery aneurysms (mean age: 39.5 years). Hemoptysia revealed Behçet's disease in three. Initially explored by conventional radiography, computed tomography and angiography, pulmonary artery aneurysms are currently investigated well with helicoidal computed tomography, digital angiography, magnetic resonance imaging (MRI) and angio-MRI. These imaging techniques provide helpful information for the diagnosis of Behçet's disease.

摘要

白塞病累及肺部较为少见(12%)。除肺梗死和胸腔内出血外,上腔静脉和/或其他纵隔静脉血栓栓塞、主动脉和肺动脉瘤是主要的血管表现。尽管这些情况少见,但呼吸系统症状可能危及生命。本研究的目的是评估胸部影像学对该病最严重方面之一:肺动脉瘤的作用。我们报告了5例肺动脉瘤患者(平均年龄:39.5岁)。3例患者因咯血确诊为白塞病。肺动脉瘤最初通过传统X线摄影、计算机断层扫描和血管造影进行检查,目前螺旋计算机断层扫描、数字血管造影、磁共振成像(MRI)和血管造影MRI对其有很好的诊断效果。这些成像技术为白塞病的诊断提供了有用信息。

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