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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References
- Cardiac Behçet disease presenting as aortic valvulitis/aortitis or right heart inflammatory mass: a clinicopathologic study of 12 cases.Am J Surg Pathol. 2008; 32: 390-398
- Inflammatory pseudotumor (myofibroblastic tumor) of the heart.Ann Diagn Pathol. 2002; 6: 116-121
- Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and Radiography.AJR Am J Roentgenol. 2007; 188: W126-W134
Article info
Publication history
Published online: April 23, 2015
Accepted:
April 16,
2015
Received:
November 25,
2014
Footnotes
See page 1204.e7 for disclosure information.
Identification
Copyright
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
