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Mass lesions surrounding coronary artery associated with immunoglobulin G4-related disease


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Title: Mass lesions surrounding coronary artery associated with immunoglobulin G4-related disease
Authors: Kusumoto, Saburo / Kawano, Hiroaki / Takeno, Masayoshi / Kawahara, Fumitaka / Abe, Kuniko / Hayashi, Hideyuki / Koide, Yuji / Maemura, Koji
Issue Date: Jun-2012
Publisher: 日本心臓病学会 / Japanese College of Cardiology
Citation: Journal of Cardiology Cases, 5(3), pp.e150-e154; 2012
Abstract: Immunoglobulin G4 (IgG4)-related diseases have been reported to be systemic diseases characterized by elevation of serum IgG4 concentration and infiltration of IgG4-positive plasma cells within the target organ. However, the involvement of coronary artery is very rare. Here, we report a 62-year-old man with mass lesions surrounding coronary artery and abdominal aorta associated with IgG4-related disease diagnosed by a needle biopsy of the mass lesion surrounding the coronary artery using echocardiography and computed tomography. After we started to treat the patient with prednisolone, his serum IgG4 level decreased, and the mass lesions of coronary and abdominal artery were markedly reduced in size after 4 months. In conclusion, IgG4-related disease should be considered in addition to tumors such as malignant lymphoma when mass lesions surrounding coronary artery are detected.
Keywords: Arteritis / Computed tomography / IgG4-related disease
URI: http://hdl.handle.net/10069/30197
ISSN: 18785409
DOI: 10.1016/j.jccase.2012.02.006
Rights: © 2012 Japanese College of Cardiology. / This is the author's version of a work accepted for publication by Japanese College of Cardiology. Changes resulting from the publishing process, including peer review, editing, corrections, structural formatting and other quality control mechanisms, may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version has been published in Journal of Cardiology Cases, 5, 3, 2012-06, DOI.10.1016/j.jccase.2012.02.006
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/30197

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