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Canadian Journal of Cardiology

Behcet Disease Presenting With Cardiac and Pulmonary Masses

Published:April 23, 2015DOI:https://doi.org/10.1016/j.cjca.2015.04.009

      Abstract

      Computed tomography and magnetic resonance imaging features of inflammatory intracardiac and pulmonary masses secondary to Behcet disease have not been well described in the literature. We present a case of Behcet disease, presenting with enhancing cardiac and pulmonary inflammatory masses that mimicked the imaging appearance of metastatic cardiac angiosarcoma. Subsequent magnetic resonance imaging examination showed the mass reduced in size with immunosuppressive therapy. This case highlights the importance of considering Behcet disease in the differential diagnosis for an enhancing cardiac mass.

      Résumé

      Les caractéristiques par tomodensitométrie et par imagerie par résonance magnétique des masses intracardiaques et pulmonaires d’origine inflammatoire secondaires à la maladie de Behçet ont été mal décrites dans la littérature. Nous présentons un cas de maladie de Behçet dont l’augmentation des masses cardiaques et pulmonaires d’origine inflammatoire imitait l’aspect d’un angiosarcome cardiaque métastatique. L’examen subséquent par imagerie par résonance magnétique montrait la réduction en taille de la masse par le traitement immunosuppresseur. Ce cas souligne l’importance de considérer la maladie de Behçet dans le diagnostic différentiel pour une augmentation des masses cardiaques.
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