2015年
Elevated Serum IgG4 Complicated by Pericardial Involvement with a Patchy F-18-FDG Uptake in PET/CT: Atypical Presentation of IgG4-related Disease
INTERNAL MEDICINE
- 巻
- 54
- 号
- 18
- 開始ページ
- 2337
- 終了ページ
- 2341
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.2169/internalmedicine.54.4340
- 出版者・発行元
- JAPAN SOC INTERNAL MEDICINE
IgG4-related pericardial involvement has rarely been reported and its clinical features remain unknown. We herein report a case of a 50-year-old woman with pericarditis who presented with a fever, elevated C-reactive protein levels, elevated serum IgG4 concentrations, and thickened pericardium with a patchy F-18-fluorodeoxyglucose (FDG) uptake. A biopsy specimen of F-18-FDG accumulated in the mediastinal lymph nodes revealed an abundant infiltration of IgG4-bearing plasma cells without fibrosis. Moderate-dose glucocorticoids promptly resolved the physical, serological, and imaging abnormalities, thus indicating a relatively acute and reversible nature of IgG4-related pericardial involvement.
- リンク情報
- ID情報
-
- DOI : 10.2169/internalmedicine.54.4340
- ISSN : 0918-2918
- eISSN : 1349-7235
- PubMed ID : 26370858
- Web of Science ID : WOS:000361751300009