Iberoamerican Journal of Medicine
https://app.periodikos.com.br/journal/iberoamericanjm/article/doi/10.53986/ibjm.2025.0016
Iberoamerican Journal of Medicine
Case Report

Diffuse alveolar Hemorrhage in a patient with Behcet's: immune or nonimmune?

Hemorragia alveolar difusa en un paciente con Behçet: ¿inmune o no inmune?

Mia Albiez, Andreas Helg

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Abstract

Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition often presenting with non-specific symptoms such as hemoptysis and cough, and can lead to respiratory failure. It is primarily associated with small-vessel vasculitides, like granulomatosis with polyangiitis.
We report a 56-year-old male with a history of Behçet's disease who presented with cough, hemoptysis, and low oxygen saturation. Imaging studies and posterior bronchoscopy with bronchoalveolar lavage (BAL) confirmed DAH. This article discusses the probable causes of DAH in this patient.

Keywords

Behcet disease; Vasculitis; Nsaid; Acetylsalicylic acid

Resumen

La hemorragia alveolar difusa (HAD) es una condición rara y potencialmente mortal que generalmente se presenta con síntomas inespecíficos, como hemoptisis y tos, y puede llevar a la insuficiencia respiratoria. Está asociada principalmente con vasculitis de pequeños vasos, como la granulomatosis con poliangeítis. Se reporta el caso de un hombre de 56 años con antecedentes de enfermedad de Behçet que se presentó con tos, hemoptisis y baja saturación de oxígeno. Mediante estudios de imagenes y posteriormente broncoscopía con lavado broncoalveolar, se confirmo HAD. En este articulo discutimos las probables causas de DAH en este paciente.

Palabras clave

Enfermedad de Behçet; Vasculitis; AINEs; Ácido acetilsalicílico

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Submitted date:
03/31/2025

Reviewed date:
05/28/2025

Accepted date:
06/17/2025

Publication date:
06/17/2025

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