Pulmonary arterial aneurysms in primary antiphospholipid antibody syndrome.
A 20-year-old man with rapid refractory pulmonary infiltrates, fever, and chill was admitted to our hospital. Microscopic examination showed focal necrosis of the lung tissue, arterial thromboembolism, and alveolar hemorrhage. He tested positive for anticardiolipin IgG antibodies. Because of the absence of underlying diseases, the possibility of secondary antiphospholipid antibody syndrome was excluded. Follow-up chest CT after 2 years revealed pulmonary arterial aneurysms with diffuse ground-glass opacities. The aneurysms were occluded by coil embolization.
Chung
Myung Hee
MH
Department of Radiology, Holy Family Hospital, Catholic University of Korea, Kyunggi-do, Korea. mhchung@hfh.cuk.ac.kr
Lee
Hae Giu
HG
Kwon
Soon Suck
SS
Kim
Young-Sill
YS
Park
Seog Hee
SH
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography; D016736:Antiphospholipid Syndrome / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed