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白塞病患者下段肺动脉瘤的成功囊内微线圈栓塞术

Successful Intrasaccular Microcoil Embolization of a Lower Segment Pulmonary Artery Aneurysm in a Patient With Behcet's Disease.

作者信息

Helou Maroun, Al Irr Nael

机构信息

General Practice, Faculty of Medicine and Health Science, An-Najah National University, Nablus, PSE.

Internal Medicine, Palestine Medical Complex, Ramallah, PSE.

出版信息

Cureus. 2024 Jun 17;16(6):e62548. doi: 10.7759/cureus.62548. eCollection 2024 Jun.

DOI:10.7759/cureus.62548
PMID:39022470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11254334/
Abstract

Behcet's disease (BD) is an uncommon, long-term inflammatory condition characterized by recurring ulcers in the mouth and genital area, uveitis, and various systemic issues. One of the particularly rare but severe complications of this disease is the formation of pulmonary artery aneurysms (PAAs). Although these aneurysms are uncommon, they can lead to dangerous pulmonary hemorrhages (PHs), which are often fatal, requiring prompt diagnosis and intervention. We present a case of lower segment PAA in an 18-year-old patient with recently diagnosed BD, presenting with life-threatening PH and managed successfully with microcoil embolization of the aneurysm and immunosuppressive (IS) medications, achieving stable remission without complications.

摘要

白塞病(BD)是一种罕见的长期炎症性疾病,其特征为口腔和生殖器反复出现溃疡、葡萄膜炎以及各种全身性问题。该疾病一种特别罕见但严重的并发症是肺动脉瘤(PAA)的形成。尽管这些动脉瘤并不常见,但它们可导致危险的肺出血(PH),而肺出血往往是致命的,需要及时诊断和干预。我们报告一例18岁近期诊断为白塞病的患者发生下段PAA的病例,该患者出现危及生命的肺出血,通过动脉瘤微线圈栓塞和免疫抑制(IS)药物治疗成功治愈,实现稳定缓解且无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb65/11254334/0b3139f6e6d8/cureus-0016-00000062548-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb65/11254334/da03c6b64f43/cureus-0016-00000062548-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb65/11254334/0b3139f6e6d8/cureus-0016-00000062548-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb65/11254334/da03c6b64f43/cureus-0016-00000062548-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb65/11254334/0b3139f6e6d8/cureus-0016-00000062548-i02.jpg

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本文引用的文献

1
Pulmonary Artery Aneurysm in Behcet Disease: Medical, Endovascular or Surgical Intervention.白塞病中的肺动脉瘤:药物、血管内或外科干预
Cureus. 2023 Nov 24;15(11):e49368. doi: 10.7759/cureus.49368. eCollection 2023 Nov.
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Pulmonary artery aneurysms: diagnosis & endovascular therapy.肺动脉瘤:诊断与血管内治疗
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Management of vascular Behçet's disease.血管性白塞病的管理
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Development of Pulmonary Artery Aneurysms Due to Behçet's Disease and Resolution after Treatment.白塞病所致肺动脉瘤的发展及治疗后的消退
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Refractory pulmonary artery aneurysm in Behçet's disease.贝切特病致难治性肺动脉瘤。
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Pulmonary artery involvement and associated lung disease in Behçet disease: a series of 47 patients.白塞病中的肺动脉受累及相关肺部疾病:47例患者系列研究
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EULAR recommendations for the management of Behçet disease.欧洲抗风湿病联盟(EULAR)关于白塞病管理的建议。
Ann Rheum Dis. 2008 Dec;67(12):1656-62. doi: 10.1136/ard.2007.080432. Epub 2008 Jan 31.
9
The long-term mortality and morbidity of Behçet syndrome: a 2-decade outcome survey of 387 patients followed at a dedicated center.白塞病的长期死亡率和发病率:在一个专门中心对387例患者进行的20年随访结果调查
Medicine (Baltimore). 2003 Jan;82(1):60-76. doi: 10.1097/00005792-200301000-00006.
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CT findings of pulmonary artery aneurysms during treatment for Behçet's disease.白塞病治疗期间肺动脉瘤的CT表现
AJR Am J Roentgenol. 1999 Mar;172(3):729-33. doi: 10.2214/ajr.172.3.10063870.