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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2019
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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 |
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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 |
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