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Vol. 37. Issue 11.
Pages 508-510 (November 2001)
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Vol. 37. Issue 11.
Pages 508-510 (November 2001)
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Aneurismas gigantes de la arteria pulmonar y trombosis venosa periférica (síndrome de Hughes-Stovin): regresión con tratamiento inmunosupresor
Giant aneurysms of the pulmonary artery and peripheral venous thrombosis (Hughes-Stovin syndrome): regression with immunosuppressant therapy
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A. Alí-Munivea,
Corresponding author
fnc@impsat.net.co
abrahamali_ali_munive@hotmail.com

Correspondencia: Dr. A. Ali-Munive. Fundación Neumológica Colombiana.Calle 163, A # 28–60. Bogotá, Colombia
, H. Varónb, D. Maldonadoa, C. Torres-Duquea
a Fundación Neumológica Colombiana
b Fundación Cardioinfantil. Instituto de Cardiología. Departamento de Radiología. Bogotá (Colombia)
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Presentamos el caso de un paciente joven de origen afro-caribeño, que consultó por tos seca y febrícula. En la radio-grafía del tórax de ingreso se observaron masas pulmonares hiliares bilaterales que, al ser evaluadas posteriormente con TC de tórax con contraste, se confirmó que correspondían a aneurismas gigantes de la arteria pulmonar. Su antecedente más importante era una trombosis venosa profunda detecta-da 6 meses antes de su ingreso. Se estableció el diagnóstico de síndrome de Hughes-Stovin y se inició tratamiento con prednisolona y azatioprina. La TC realizada 6 meses des-pués de tratamiento ininterrumpido demostró la desapari-ción de los aneurismas

El síndrome de Hughes-Stovin se caracteriza por aneuris-mas de las arterias pulmonares y trombosis venosa profun-da periférica. Puede cursar con complicaciones pulmonares graves, como hemoptisis y trombosis dentro de los aneuris-mas. Se ha considerado una variedad de la enfermedad de Behçet

Palabras clave:
Síndrome de Hughes-Stovin
Aneurismas de ar-terias pulmonares
Enfermedad de Behçet

We report the case of a young Afro-Caribbean patient who complained of dry cough and low-grade fever. A chest film upon admission showed bilateral hilar masses in the lungs, which a CT scan with contrast medium confirmed were giant aneurysms of the pulmonary artery. The most relevant past history was deep venous thrombosis six months before admission. Hughes-Stovin syndrome was diagnosed and tre-atment was started with prednisolone and azathioprine. A scan 6 months after treatment ended showed the aneurysms had disappeared. Hughes-Stovin syndrome is characterized by pulmonary artery aneurysms and peripheral deep ve-nous thromboses. Severe lung complications can include he-moptysis and thromboses inside the aneurysms. Hughes-Stovin syndrome has been considered a variety of Behçet's disease

Keywords:
Hughes-Stovin syndrome
Pulmonary arter aneurysms
Behçet's disease
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Bibliografía
[1.]
J.P. Hughes, P.G. Stovin.
Segmental Pulmonary artery aneurysm with peripheral venous thrombosis.
Br J Dis Chest, 53 (1959), pp. 19-27
[2.]
P. Durieux, O. Bletry, G. Huchon, B. Wechsler, J. Chretien, P. Godeau.
Multiple pulmonary arterial aneurysms in Behçet's disease and Hughes-Stovin syndrome.
Am J Med, 71 (1981), pp. 736-741
[3.]
B. Golden.
Behçet-type vasculopathy in a patient without the diagnostic features of Behçet disease.
Arthritis Reumatism, 39 (1996), pp. 1926-1930
[4.]
M.F. Francois.
Is Hughes-Stovin syndrome a particular expression of Behçet's disease?.
Chest, 83 (1983), pp. 288
[5.]
P. Riantawan.
Hughes-Stovin syndrome: a case report and review of the literature.
J Med Assoc Thai, 82 (1999), pp. 312-331
[6.]
A. Meireles, M.A. Sobrinho-Simöes, R. Capucho, A. Brandäo.
Hughes- Stovin syndrome with pulmonary angiitis and focal glomerulonephritis. A case report with necropsy study.
Chest, 79 (1981), pp. 598-600
[7.]
J. Khalid, S. Weber, S. Sohail, M. Balaan.
Hilar Mass and papilledema on presentation.
Chest, 113 (1998), pp. 228-229
[8.]
S. Herb, M. Hetzel.
An unusual case of Syndrome of Hughes-Stovin.
Eur Respir J, 11 (1998), pp. 1191-1193
[9.]
N.C. Balci, R.C. Semelka.
Multiple pulmonary aneurysm secondary to Hughes-Stovin Syndrome.
J Magn Reson Imaging, 8 (1998), pp. 1323-1325
[10.]
M. Tunaci, B. Ozkormaz, A. Tunaci, A. Gul, E. Gulgun, B. Acunas.
CT findings of pulmonary artery aneurisms during treatment for Behçet's Disease.
[11.]
M. Ammann, F. Karnel, F. Olbert.
Radiologic findings in the diagnosis of Hughes-Stovin syndrome.
Am J Roentgenol, 157 (1991), pp. 1353-1354
[12.]
H.R. Mahlo, K. Elsner, A. Rieber.
New approach in the diagnosis of and therapy for Hughes-Stovin syndrome.
Am J Roentgenol, 167 (1996), pp. 817-818
Copyright © 2001. Sociedad Española de Neumología y Cirugía Torácica
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