Evidence map›Paper›PMID 42439589›Full record

Observational studyTherapeutic advances in respiratory disease

Pulmonary artery involvement in Behçet's disease patients: real-life data on aneurysm and thrombosis.

Nilufer Yigit, Hilal Arguner, Firdevs Ulutas, Vefa Cakmak, Veli Cobankara, Goksel Altınısık

Abstract readObservational Study
In one paragraph

Observational study in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nilufer YigitDepartment of Chest Diseases, Pamukkale University, Denizli 20070, Turkey.ORCID 0000-0002-5871-6461
Hilal ArgunerDepartment of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Firdevs UlutasDepartment of Rheumatology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.ORCID 0000-0001-8441-5219
Vefa CakmakDepartment of Radiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Veli CobankaraDepartment of Rheumatology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Goksel AltınısıkDepartment of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary vascular involvement represents one of the most severe manifestations of Behçet's disease. Pulmonary artery aneurysm (PAA) and pulmonary artery thrombosis (PAT) are rare but potentially life-threatening complications. However, data regarding their frequency, coexistence, and clinical course remain limited, particularly from a pulmonology-based long-term follow-up perspective.

objectivesTo evaluate the frequency and clinical characteristics of PAA and PAT in a large single-center Behçet's disease cohort and to describe diagnostic and therapeutic challenges encountered during routine clinical practice.

designRetrospective single-center observational cohort study.

methodsAdult patients diagnosed with Behçet's disease and followed at a tertiary pulmonology center between January 2014 and January 2024 were retrospectively reviewed. Pulmonary vascular involvement was assessed using contrast-enhanced thoracic computed tomography and CT pulmonary angiography. The presence of deep vein thrombosis (DVT), treatment approaches, and clinical outcomes were recorded.

resultsAmong 279 patients, pulmonary vascular involvement was identified in 9 patients. Pulmonary artery aneurysm was detected in three patients (1.07%), and pulmonary artery thrombosis in six patients (2.1%). Concomitant DVT was observed in a minority of patients with pulmonary vascular involvement. Clinical follow-up revealed heterogeneous disease courses, including aneurysm development during anticoagulant therapy, hemoptysis-related treatment discontinuation, persistent pulmonary thrombosis, and rare interventional complications such as late coil migration. Mortality occurred in patients with severe pulmonary vascular disease.

conclusionPulmonary vascular complications in Behçet's disease are rare but associated with significant morbidity and mortality. The coexistence of inflammatory and thrombotic processes creates substantial diagnostic and therapeutic challenges, particularly regarding anticoagulation strategies. Although the limited number of cases precludes definitive conclusions regarding pathogenetic mechanisms, our findings highlight the need for careful, individualized, and multidisciplinary management of pulmonary vascular involvement in Behçet's disease.

Indexed as

AneurysmBehcet SyndromePulmonary ArteryThrombosisVenous ThrombosisAdultComputed Tomography AngiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesYoung AdultBehçet’s diseasedeep vein thrombosispulmonary artery aneurysmpulmonary artery thrombosisvascular involvement

Identifiers

PMID42439589
PMCPMC13365664

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.