飞行员多系统损害白塞氏病1例

Behcet disease in pilots with multisystem damage:A case report

目的探讨白塞氏病(Behcet Disease,BD)的诊断治疗及飞行结论鉴定。方法29岁强-5飞行员因右颈内静脉及头臂静脉血栓形成入院,抗凝治疗9个月后心脏超声提示心内赘生物,结合反复口腔溃疡、皮肤毛囊炎样病变及结节红斑、针刺反应阳性病史,确诊为白塞氏病。给予激素、免疫抑制剂等综合治疗。结果患者皮肤黏膜病损及心内赘生物消失。结论本病易复发,航空因素会加重血管炎症反应,飞行员患此病不适合继续飞行。

Objective To study the diagnosis and treatment of Behcet disease （BD） in pilots and their medical assessment of flying. Methods A 29-year-old pilot of type 5 fighter was hospitalized because of thrombus in the right internal jugular and branchiocephalic veins. Echocardiography showed multiple cardiac neoplasms 9 months after anticoagulation therapy. The patient was diagnosed as BD based on the presence of recurrent oral ulceration, folliculitis, erythema nodosum, and positive reaction to needling, and underwent comprehensive treatment with prednisone, immune depressants, etc. Results Mucocutaneous lesions and cardiac neoplasms disappeared after treatment. Conclusion BD is easy to recur and aviation factors can aggregate inflammatory reactions in blood vessels. Pilots with BD are not suitable to continue their flying.