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Hughes-Stovin syndrome revealing the presence of Behçet's Disease. 2017

Melek Kechida, and Sondes Yaacoubi, and Ahmed Zrig, and Walid Jomaa, and Rim Klii, and Sonia Hammami, and Ines Khochtali
Department of Internal Medicine and Endocrinology, Fattouma Bourguiba Hospital, University of Monastir, Tunisia.

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. METHODS 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. CONCLUSIONS Systemic aneurysms in Hughes Stovin is a worth knowing complication which may reveal Behçet's disease.

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