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
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Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, MexicoInst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, Mexico
Cortez-Dominguez, Edwin Ulises
Hernandez-Molina, Gabriela
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Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, MexicoInst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, Mexico
Hernandez-Molina, Gabriela
Uribe-Uribe, Norma Ofelia
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Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Pathol, Mexico City, DF, MexicoInst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, Mexico
Uribe-Uribe, Norma Ofelia
Lizardo-Thiebaud, Maria J.
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Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Pathol, Mexico City, DF, MexicoInst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, Mexico
Lizardo-Thiebaud, Maria J.
Martin-Nares, Eduardo
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Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, MexicoInst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Immunol & Rheumatol, Mexico City, DF, Mexico