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Abstract
A computed tomogram of the thorax showed multiple pulmonary aneurysms with signs of vasculitis, as well as thrombi in the affected vessels (fig 1A,B). Because of the life-threatening situation and the poor prognosis of patients with pulmonary artery involvement, we decided, after a thorough interdisciplinary discussion and with the informed consent of the patient, to treat him immediately with the tumour necrosis factor (TNF)-neutralising monoclonal antibody infliximab (5 mg/kg body weight) and not to choose the conventional treatment strategy of cyclophosphamide in combination with high doses of glucocorticoids.,D). DISCUSSION Behcet's disease is a multisystemic inflammatory disorder presenting with orogenital ulcers, changes in the skin, arthritis, ocular and vascular inflammation. 3 Pulmonary artery vasculitis is rare, affects mainly young men, presents with dyspnoea, cough, chest pain and haemoptysis, and has a bad prognosis.