Abstract

Behcet’s disease (BD) is a multi-systemic and chronic inflammatory vasculitis of unknown aetiology characterised by recurrent attacks. Although the classical triad of the disease consists of oral and genital ulcerations and uveitis, many clinical manifestations additional to this triad are also described. Pulmonary and cardiac involvement, serious complications of this disease, are very rare. A 28-year-old male patient was admitted to our clinic with the symptoms of pneumonia which was resistant to nonspecific antibiotics. Helical computed tomography (CT) showed bilateral pulmonary artery aneurysms and findings of pulmonary thromboembolism. Haemoptysis and oral ulceration were revealed during the clinical course. The patient mentioned that he had genital ulcerations in the past and when consulted by an ophthalmologist, there were findings of previous uveitis attacks. Intracardiac mass (thrombus) was found on echocardiography (echo). By the history, symptoms and imaging techniques, the case is diagnosed as BD with pulmonary and cardiac involvement. After combination therapy with prednisone and cyclophosphamide, complete remission with clinical and radiological findings was achieved after a six month therapy. We presented the case because pulmonary and cardiac involvement of BD are rare and we achieved complete remisson after the therapy.