Pulmonary Manifestations in Behçet Syndrome

Behçet syndrome, although initially described as and subsequently thought to be a local vasculitis involving the oral and genital mucosa and eyes,¹can, in fact, be a systemic disease involving many other organs.²Pulmonary manifestations in association with Behçet syndrome are rare. The following case report and review of the literature focus on this unusual manifestation. PATIENT SUMMARY Three years prior to her most recent hospital admission, a 22-year-old woman developed arthralgias, conjunctivitis, ulcers in the mouth and vagina, and petechial lesions on the lower extremities. There had been no fever, chills, sweats, weight loss, Raynaud phenomenon, cough, or hemoptysis. She had been healthy previously and took no medication. With the exception of a hematocrit reading of 29%, hematologic, renal, and liver function were normal. The latex fixation test for rheumatoid factor, VDRL test for syphilis, rapid slide test for infectious mononucleosis, and lupus erythematosus test were all