Al-Sardi Mais, Abdulhadi Deemah, Al-Jishi Faiza, Deraan Khaled
Internal Medicine, King Fahad Specialist Hospital, Dammam, SAU.
Rheumatology, King Fahad Specialist Hospital, Dammam, SAU.
Cureus. 2020 Apr 12;12(4):e7647. doi: 10.7759/cureus.7647.
Diagnosing Behcet's disease (BD) in a patient already diagnosed with Castelman's disease (CD) is rare. There are only a few cases reported in the literature and all of them were diagnosed as BD prior to the patient experiencing symptoms and signs of CD. We present a patient who was initially diagnosed as having CD. However, after being managed with chemotherapy, specifically after the fourth cycle, the patient was found to have an incidental finding of pulmonary artery aneurysm, which led to the diagnosis of BD. For that, he received the appropriate management of high-dose steroid, azathioprine, and oral anticoagulant. Currently, the patient is doing well, and the latest computed tomography scan showed complete resolution of his pulmonary aneurysm. We suggest taking a thorough history from all patients with BD symptoms and signs, especially in CD patients as they may overlap, for early diagnosis and to prevent complications.
在已确诊患有卡斯尔曼病（CD）的患者中诊断白塞病（BD）很罕见。文献中仅报道了少数病例，并且所有这些病例都是在患者出现CD的症状和体征之前被诊断为BD。我们报告一名最初被诊断为患有CD的患者。然而，在接受化疗治疗后，特别是在第四个周期之后，该患者偶然发现了肺动脉瘤，这导致了BD的诊断。为此，他接受了高剂量类固醇、硫唑嘌呤和口服抗凝剂的适当治疗。目前，患者情况良好，最新的计算机断层扫描显示其肺动脉瘤已完全消退。我们建议对所有有BD症状和体征的患者进行全面的病史询问，尤其是在CD患者中，因为它们可能重叠，以便早期诊断并预防并发症。
