TY - JOUR T1 - Thoracic affection during Behcet's disease (about 15 cases) JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p2321 AU - Nahid Zaghba AU - Najiba Yassine AU - Abdelaziz Bakhatar AU - Abdelkrim Bahlaoui Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p2321.abstract N2 - Behcet's disease is a multisystem vasculitis that affects the young. Chest affection is rare and primarily venous. The arterial affection is exceptional. We report a retrospective study of 15 cases of Behcet's disease with chest, involvement gathered at the Respiratory Diseases department, UHC Ibn Rochd of Casablanca from 1994 to 2010. It was about 3 women and 12 men. The average age was 34 years old (range: 19-58 years). The bipolar aphtosis was found in all patients, pseudofolliculitis in 9 cases, and hemoptysis in 7 cases. Superior vena cava syndrome was noted in 8 cases, 6 cases of pleurisy. The telethorax showed bilateral pleurisy in 1 case, unilateral in 5 cases, bilateral hilar opacities projection in one case, an alveolar opacity in 3 cases, aspect of releasing balloons in one case, and it is normal in 4 cases. The chest angio-CT showed the superior vena cava's thrombosis in 9 cases, bilateral pulmonary arterial aneurysms in 2 patients, pulmonary artery aneurysm associated to an embolism in one patient and pulmonary infarction site in 3 cases. Echocardiography showed an intracardiac thrombus in one case. All patients were administered steroids, colchicine and anti-coagulants. Immunosuppressive drugs were administered for 3 patients. The evolution was good in 11 cases, the onset of neuro-Behcet in 1 case and we deplore 4 deaths due to a lightning hemoptysis. We emphasize throughout these series the scarcity of thoracic manifestations of Behcet's disease, namely the arterial disease that makes its prognosis dull. ER -