In Behcet's disease (BD), controversy has existed over the incidence of tho
racic involvement, which may be a direct threat to the patient's life. The
aim of this study is to evaluate the incidence of thoracic involvement in E
D and its correlation with the number of diagnostic ED criteria of The Inte
rnational Study Group (ISG), gender, disease duration, and the presence of
symptoms. Forty-two ED patients, who had consecutively applied to different
clinics in Turgut Ozal Medical Center Research Hospital, were included in
the study. They were either newly diagnosed or already under treatment. All
patients were examined by standard chest roentgenogram, spirometry, and th
orax CT. Perfusion scintigraphies were obtained in patients with thoracic i
nvolvement. Thoracic pathologic conditions were found in five patients (11.
9%). All thoracic pathologic conditions appeared in patients with at least
four diagnostic criteria (26 patients) of the ISG for ED. In this subgroup,
the rate of thoracic involvement was 19.2%. Also, 25% of the patients with
pulmonary symptoms (12 patients) had thoracic lesions. Gender and the dura
tion of the disease did not correlate with thoracic involvement. Our findin
gs suggest that the rate of thoracic involvement in ED is greater than is g
enerally believed. An increased number of diagnostic ED criteria of the ISG
may indicate other organ system involvement and an increased risk of thora
cic pathosis. All ED patients with at least four diagnostic criteria or any
pulmonary symptoms should be evaluated for thoracic involvement, which is
a major menace to life and necessitates early intervention.