Multiple Pulmunary Aneurysmns presenting as massive Hemoptysis

Abstract

BACKGROUND
Hughes-Stovin syndrome (HSS) is a very uncommon cardiovascular variant of Behcet's disease1,2. The classical presentation is that of a young male presenting with a massive bout of hemoptysis due to multiple pulmonary aneurysms and peripheral venous thrombosis. In the absence of timely immunosuppression, the natural history is one of significant morbidity and mortality, stressing the need for a high clinical suspicion and early intervention3.

CASE PRESENTATION
 
Twenty-five-year-old male heavy smoker presented with three weeks history of recurrent bouts of hemoptysis. Investigations including complete blood count, renal and liver function tests, correlogram and urine examination were unremarkable. The chest x-ray was normal. Sputum for AFB was negative, and the Mantoux test revealed no induration after 72 hours. Sputum for CBNAAT was negative. His HRCT chest revealed right lower lobe infiltrates, and bronchoscopy was unremarkable. The patient was prescribed antibiotics and advised to follow up after two weeks.