IgG4-Related Systemic Disease Presenting With Lung Entrapment and Constrictive Pericarditis

被引:46
|
作者
Sekiguchi, Hiroshi [1 ]
Horie, Ryohei [1 ]
Utz, James P. [1 ]
Ryu, Jay H. [1 ]
机构
[1] Mayo Clin, Div Pulm & Crit Care Med, Rochester, MN 55905 USA
关键词
D O I
10.1378/chest.11-2608
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We describe a 29-year-old woman who presented with chronic pleuropericarditis complicated by lung entrapment and constrictive pericarditis. Pleural biopsy performed during the decortication procedure revealed fibrinous pleuritis with lymphoplasmacytic inflammation including IgG4-positive plasma cells. The patient responded favorably to corticosteroid therapy with resolution of pleural effusion and constrictive physiology. To our knowledge, this is the first reported case of IgG4-related systemic disease manifesting as lung entrapment and constrictive pericarditis. CHEST 2012; 142(3):781-783
引用
收藏
页码:781 / 783
页数:3
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