IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis

A 63-year-old man was admitted to our department following a secondary medical examination. Blood tests showed high levels of liver enzymes, IgG, IgG4, and antinuclear antibody. Computed tomography showed tumors in the bilateral lower lobes of the lungs and pleural thickening. After pleural and live...

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Autores principales: Nagashima, Kazunori, Sano, Itsuki, Kobayashi, Tomoe, Eto, Kazunori, Nagai, Kosuke, Ninomiya, Ryusuke, Suzuki, Akira, Oohata, Yoshihiro, Konishi, Kouhei, Nakano, Tsuyoshi, Yamamoto, Fumiyasu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799055/
https://www.ncbi.nlm.nih.gov/pubmed/29033427
http://dx.doi.org/10.2169/internalmedicine.9026-17
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author Nagashima, Kazunori
Sano, Itsuki
Kobayashi, Tomoe
Eto, Kazunori
Nagai, Kosuke
Ninomiya, Ryusuke
Suzuki, Akira
Oohata, Yoshihiro
Konishi, Kouhei
Nakano, Tsuyoshi
Yamamoto, Fumiyasu
author_facet Nagashima, Kazunori
Sano, Itsuki
Kobayashi, Tomoe
Eto, Kazunori
Nagai, Kosuke
Ninomiya, Ryusuke
Suzuki, Akira
Oohata, Yoshihiro
Konishi, Kouhei
Nakano, Tsuyoshi
Yamamoto, Fumiyasu
author_sort Nagashima, Kazunori
collection PubMed
description A 63-year-old man was admitted to our department following a secondary medical examination. Blood tests showed high levels of liver enzymes, IgG, IgG4, and antinuclear antibody. Computed tomography showed tumors in the bilateral lower lobes of the lungs and pleural thickening. After pleural and liver biopsy procedures, he was conclusively diagnosed with IgG4-related lung pseudotumor and pleural inflammation with autoimmune hepatitis. We started treatment with prednisolone 40 mg/day, and chest radiograph and blood tests showed signs of improvement. This was a rare case that suggested an association between IgG4-related disease and autoimmune hepatitis.
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spelling pubmed-57990552018-02-08 IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis Nagashima, Kazunori Sano, Itsuki Kobayashi, Tomoe Eto, Kazunori Nagai, Kosuke Ninomiya, Ryusuke Suzuki, Akira Oohata, Yoshihiro Konishi, Kouhei Nakano, Tsuyoshi Yamamoto, Fumiyasu Intern Med Case Report A 63-year-old man was admitted to our department following a secondary medical examination. Blood tests showed high levels of liver enzymes, IgG, IgG4, and antinuclear antibody. Computed tomography showed tumors in the bilateral lower lobes of the lungs and pleural thickening. After pleural and liver biopsy procedures, he was conclusively diagnosed with IgG4-related lung pseudotumor and pleural inflammation with autoimmune hepatitis. We started treatment with prednisolone 40 mg/day, and chest radiograph and blood tests showed signs of improvement. This was a rare case that suggested an association between IgG4-related disease and autoimmune hepatitis. The Japanese Society of Internal Medicine 2017-10-16 2018-01-01 /pmc/articles/PMC5799055/ /pubmed/29033427 http://dx.doi.org/10.2169/internalmedicine.9026-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nagashima, Kazunori
Sano, Itsuki
Kobayashi, Tomoe
Eto, Kazunori
Nagai, Kosuke
Ninomiya, Ryusuke
Suzuki, Akira
Oohata, Yoshihiro
Konishi, Kouhei
Nakano, Tsuyoshi
Yamamoto, Fumiyasu
IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title_full IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title_fullStr IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title_full_unstemmed IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title_short IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis
title_sort igg4-related lung pseudotumor and pleural inflammation with autoimmune hepatitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799055/
https://www.ncbi.nlm.nih.gov/pubmed/29033427
http://dx.doi.org/10.2169/internalmedicine.9026-17
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