An autopsy case of refractory vasculo-Behçet's disease

Pulmonary vascular involvement in Behcet’s disease is a rare complication with a poor prognosis. We present an autopsy case of vasculo-Behcet’s disease complicated by pulmonary hemorrhage, possibly caused by rupture of pulmonary artery aneurysms. The patient was treated with a combination of high-dose steroids and pulse cyclophosphamide, but he died from massive hemoptysis. This case highlights the need for potent new therapies for patients with vasculo-Behcet’s disease refractory to conventional immunosuppressive therapy, such as a combination of steroids and cyclophosphamide.