Intracardiac thrombus and pulmonary aneurysms in an adolescent with Behçet disease

Asaf Vivante, Yoram Bujanover, Jeffrey Jacobson, Shai Padeh, Yackov Berkun*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Behçet disease (BD) is an inflammatory disorder of unknown origin. We present here an unusual case of juvenile Behçet with hemoptysis due to large pulmonary artery aneurysms (PAA), large intra-cardiac thrombus and prolonged fever, which posed several therapeutic challenges. In this case, a 14-year-old boy was admitted with a 3-month history of fever, painful oral ulcers, skin rash and intermittent hemoptysis. A high resolution helical computed tomography angiogram demonstrated thrombi in the right ventricle, two large aneurysms located in the right lung and two smaller ones in the left. The patient was successfully treated with colchicine, prednisone, cyclophosphamide and enoxaparine. A discussion about PAA and intracardiac thrombi and their role in BD is provided in this case.

Original languageEnglish
Pages (from-to)575-577
Number of pages3
JournalRheumatology International
Issue number5
StatePublished - Mar 2009


  • Behçet disease
  • Cyclophosphamide
  • Hemoptysis
  • Intracardiac thrombi
  • Pulmonary artery aneurysm


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