Hughes-Stovin syndrome revealing the presence of Behçet’s Disease

• Main Authors: Melek Kechida, Sondes Yaacoubi, Ahmed Zrig, Walid Jomaa, Rim Klii, Sonia Hammami, Ines Khochtali
• Format: Article
• Language: English
• Published: Babol University of Medical Sciences 2017-07-01
• Series: Caspian Journal of Internal Medicine
• Subjects: Behçet syndrome; Hughes-Stovin syndrome; Aortic aneurysm
• Online Access: http://caspjim.com/browse.php?a_code=A-10-622-1&slc_lang=en&sid=1

Background: Hughes-Stovin Syndrome (HSS) is a rare clinical disorder characterized by deep venous thrombosis and multiple pulmonary and/or bronchial aneurysms. Aneurysms in systemic circulation can also be seen. Case presentation: We report the first case of HSS with aortic aneurysm in a 55-year-old man who initially presented with deep venous thrombosis. The diagnosis of HSS revealing Behçet’s disease was made given the history of recurrent oral and genital ulcers. Treatment consisted of 3 daily pulses of methylprednisolone (1g) followed by oral prednisone (1mg/kg daily) and 6 monthly pulses of cyclophosphamide. Oral anticoagulation treatment was  held  3 months and then was stopped with good outcome. Conclusion: Systemic aneurysms in Hughes Stovin is a worth knowing complication which may reveal Behçet’s disease.