Erkan F, Cavdar T, Aral O, Inanç M
Pneumologische Klinik, Medizinischen Fakultät Istanbul der Universität Istanbul.
Pneumologie. 1991 Feb;45(2):52-7.
Behçet's disease should be considered in the differential diagnosis of haemoptysis. Pulmonary manifestations of Behçet's disease, which are due to the vasculitis of pulmonary vessels are quite rare. 8 cases who presented with haemoptysis and subsequently diagnosed as Behçet's disease will be presented. The value of diagnostic methods will be discussed. All patients yielded other manifestations of vasculitis such as aphtous stomatitis, genital ulcerations, cutaneous lesions, iridocyclitis and thrombophlebitis. Chest X-ray films yielded unilateral hilar enlargement in 3, unilateral elevation of diaphragm in 3, round and nonhomogenous opacities in 4 of 8 patients. Thorax CAT was performed in 5 of whom 4 showed aneurysms and irregularities of vessel walls. Pulmonary angiography of 2 patients displayed aneurysm and thrombosis. Perfusion defects of various sizes were evident in 7 patients obtained by pulmonary perfusion scans.
咯血的鉴别诊断应考虑白塞病。白塞病的肺部表现是由肺血管血管炎引起的,相当罕见。本文将介绍8例以咯血为表现并随后被诊断为白塞病的病例。将讨论诊断方法的价值。所有患者均有其他血管炎表现,如口腔溃疡、生殖器溃疡、皮肤病变、虹膜睫状体炎和血栓性静脉炎。胸部X线片显示8例患者中有3例单侧肺门增大,3例单侧膈肌抬高,4例有圆形及不均匀阴影。5例患者进行了胸部计算机断层扫描(CAT),其中4例显示动脉瘤和血管壁不规则。2例患者的肺血管造影显示有动脉瘤和血栓形成。7例患者通过肺灌注扫描显示有大小不等的灌注缺损。