Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease

A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasm...

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Autores principales: Kuma, Sosei, Takeshima, Tsubasa, Ohga, Takefumi, Nozoe, Tadahiro, Sueishi, Katsuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Subclavian and internal mammary artery aneurysm
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765177/
https://www.ncbi.nlm.nih.gov/pubmed/29349436
http://dx.doi.org/10.1016/j.jvscit.2017.10.005
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author Kuma, Sosei
Takeshima, Tsubasa
Ohga, Takefumi
Nozoe, Tadahiro
Sueishi, Katsuo
author_facet Kuma, Sosei
Takeshima, Tsubasa
Ohga, Takefumi
Nozoe, Tadahiro
Sueishi, Katsuo
author_sort Kuma, Sosei
collection PubMed
description A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis.
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spelling pubmed-57651772018-01-18 Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease Kuma, Sosei Takeshima, Tsubasa Ohga, Takefumi Nozoe, Tadahiro Sueishi, Katsuo J Vasc Surg Cases Innov Tech Subclavian and internal mammary artery aneurysm A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis. Elsevier 2017-12-18 /pmc/articles/PMC5765177/ /pubmed/29349436 http://dx.doi.org/10.1016/j.jvscit.2017.10.005 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Subclavian and internal mammary artery aneurysm
Kuma, Sosei
Takeshima, Tsubasa
Ohga, Takefumi
Nozoe, Tadahiro
Sueishi, Katsuo
Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title_full Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title_fullStr Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title_full_unstemmed Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title_short Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease
title_sort superficial temporal artery aneurysm associated with immunoglobulin g4-related disease
topic Subclavian and internal mammary artery aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765177/
https://www.ncbi.nlm.nih.gov/pubmed/29349436
http://dx.doi.org/10.1016/j.jvscit.2017.10.005
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AT nozoetadahiro superficialtemporalarteryaneurysmassociatedwithimmunoglobuling4relateddisease
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