Successful Prophylactic Pulmonary Arterial Aneurysm Repair in Pregnant Women with Behcets Disease

Behcet's Disease is a multisystem vasculitis characterized by recurrent aphthous ulcers, genital sores and uveitis. It runs a chronic course with unpredictable exacerbations and relapses which may be caused by an autoimmune reaction. A 24 year old pregnant women, ill-educated of low socioeconomic status presented with a decreased visual acuity of the right eye, hemoptysis, diarrhea, and cough. On history and examination, she was revealed to have anterior uveitis, monoarticular arthritis, oral ulcerations, pulmonary artery aneurysm and erythema marginatum. The diagnosis was difficult given the wide array of symptoms, eventually, she was diagnosed with Behcet's disease. Symptomatic treatment was initiated, she was started on colchicine, and surgery was planned for the pulmonary artery aneurysm as symptoms worsened. The patient was followed up and successfully delivered a viable healthy male fetus.