IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta

Immunoglobulin G4-related disease (IgG4-RD) can affect various organs, including the cardiovascular system. In this study, we described the case of a 72-year-old man with periaortitis both in the ascending and terminal aorta related to IgG4-RD. He presented with swelling in the left leg. Computed to...

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Autores principales: Takahashi, Kazuki, Kikuchi, Shinsuke, Kamada, Keisuke, Tochikubo, Ai, Uchida, Daiki, Koya, Atsuhiro, Kamiya, Hiroyuki, Azuma, Nobuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752925/
https://www.ncbi.nlm.nih.gov/pubmed/35082945
http://dx.doi.org/10.3400/avd.cr.21-00024
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author Takahashi, Kazuki
Kikuchi, Shinsuke
Kamada, Keisuke
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Kamiya, Hiroyuki
Azuma, Nobuyoshi
author_facet Takahashi, Kazuki
Kikuchi, Shinsuke
Kamada, Keisuke
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Kamiya, Hiroyuki
Azuma, Nobuyoshi
author_sort Takahashi, Kazuki
collection PubMed
description Immunoglobulin G4-related disease (IgG4-RD) can affect various organs, including the cardiovascular system. In this study, we described the case of a 72-year-old man with periaortitis both in the ascending and terminal aorta related to IgG4-RD. He presented with swelling in the left leg. Computed tomography (CT) showed increased wall thickness of the ascending aorta and retroperitoneal fibrosis, which, in turn, caused deep vein thrombosis. Using positron emission tomography-computed tomography, the patient was diagnosed with IgG4-RD in the aorta. Although it was difficult to distinguish intramural hematoma (IMH) from IgG4-related periaortitis, treatment with steroids has dramatically improved his periaortitis. IgG4-related periaortitis should be differentiated from IMH due to their similar morphologies.
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spelling pubmed-87529252022-01-25 IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta Takahashi, Kazuki Kikuchi, Shinsuke Kamada, Keisuke Tochikubo, Ai Uchida, Daiki Koya, Atsuhiro Kamiya, Hiroyuki Azuma, Nobuyoshi Ann Vasc Dis Case Report Immunoglobulin G4-related disease (IgG4-RD) can affect various organs, including the cardiovascular system. In this study, we described the case of a 72-year-old man with periaortitis both in the ascending and terminal aorta related to IgG4-RD. He presented with swelling in the left leg. Computed tomography (CT) showed increased wall thickness of the ascending aorta and retroperitoneal fibrosis, which, in turn, caused deep vein thrombosis. Using positron emission tomography-computed tomography, the patient was diagnosed with IgG4-RD in the aorta. Although it was difficult to distinguish intramural hematoma (IMH) from IgG4-related periaortitis, treatment with steroids has dramatically improved his periaortitis. IgG4-related periaortitis should be differentiated from IMH due to their similar morphologies. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-12-25 /pmc/articles/PMC8752925/ /pubmed/35082945 http://dx.doi.org/10.3400/avd.cr.21-00024 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Takahashi, Kazuki
Kikuchi, Shinsuke
Kamada, Keisuke
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Kamiya, Hiroyuki
Azuma, Nobuyoshi
IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title_full IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title_fullStr IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title_full_unstemmed IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title_short IgG4-Related Periaortitis Initially Suspected of Being an Aortic Intramural Hematoma in the Ascending Aorta
title_sort igg4-related periaortitis initially suspected of being an aortic intramural hematoma in the ascending aorta
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752925/
https://www.ncbi.nlm.nih.gov/pubmed/35082945
http://dx.doi.org/10.3400/avd.cr.21-00024
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