Cargando…

IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective

IgG4-related diseases (IgG4-RDs) have recently been reported in many organs other than the salivary, pancreatic and hepatobiliary systems. A 64-year-old woman was referred to our department for her abdominal fullness and cardiomegaly on chest X-ray. After draining the pericardial fluid, her symptom...

Descripción completa

Detalles Bibliográficos
Autores principales: Arao, Kenshiro, Mase, Takaaki, Iwanami, Keiichi, Nakai, Mori, Sekiguchi, Hiroshi, Abe, Yasunori, Kawakami, Masanobu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522423/
https://www.ncbi.nlm.nih.gov/pubmed/30626813
http://dx.doi.org/10.2169/internalmedicine.1403-18
_version_ 1783419112850980864
author Arao, Kenshiro
Mase, Takaaki
Iwanami, Keiichi
Nakai, Mori
Sekiguchi, Hiroshi
Abe, Yasunori
Kawakami, Masanobu
author_facet Arao, Kenshiro
Mase, Takaaki
Iwanami, Keiichi
Nakai, Mori
Sekiguchi, Hiroshi
Abe, Yasunori
Kawakami, Masanobu
author_sort Arao, Kenshiro
collection PubMed
description IgG4-related diseases (IgG4-RDs) have recently been reported in many organs other than the salivary, pancreatic and hepatobiliary systems. A 64-year-old woman was referred to our department for her abdominal fullness and cardiomegaly on chest X-ray. After draining the pericardial fluid, her symptom promptly diminished, and pericardial friction rubbing became clearly audible. Elevated serum levels of IgG and IgG4 and ureteral wall thickening on computed tomography suggested IgG4-RD. After the initiation of oral corticosteroid therapy, the pericardial effusion was resolved, and she has been in a steady-state condition for the past two years.
format Online
Article
Text
id pubmed-6522423
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-65224232019-05-20 IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective Arao, Kenshiro Mase, Takaaki Iwanami, Keiichi Nakai, Mori Sekiguchi, Hiroshi Abe, Yasunori Kawakami, Masanobu Intern Med Case Report IgG4-related diseases (IgG4-RDs) have recently been reported in many organs other than the salivary, pancreatic and hepatobiliary systems. A 64-year-old woman was referred to our department for her abdominal fullness and cardiomegaly on chest X-ray. After draining the pericardial fluid, her symptom promptly diminished, and pericardial friction rubbing became clearly audible. Elevated serum levels of IgG and IgG4 and ureteral wall thickening on computed tomography suggested IgG4-RD. After the initiation of oral corticosteroid therapy, the pericardial effusion was resolved, and she has been in a steady-state condition for the past two years. The Japanese Society of Internal Medicine 2019-01-10 2019-04-15 /pmc/articles/PMC6522423/ /pubmed/30626813 http://dx.doi.org/10.2169/internalmedicine.1403-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal 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
Arao, Kenshiro
Mase, Takaaki
Iwanami, Keiichi
Nakai, Mori
Sekiguchi, Hiroshi
Abe, Yasunori
Kawakami, Masanobu
IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title_full IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title_fullStr IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title_full_unstemmed IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title_short IgG4-related Pericarditis in which Oral Corticosteroid Therapy Was Effective
title_sort igg4-related pericarditis in which oral corticosteroid therapy was effective
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522423/
https://www.ncbi.nlm.nih.gov/pubmed/30626813
http://dx.doi.org/10.2169/internalmedicine.1403-18
work_keys_str_mv AT araokenshiro igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT masetakaaki igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT iwanamikeiichi igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT nakaimori igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT sekiguchihiroshi igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT abeyasunori igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective
AT kawakamimasanobu igg4relatedpericarditisinwhichoralcorticosteroidtherapywaseffective