IgG4-related small-sized occlusive vasculitis in Mikulicz's disease

被引：8

作者：

Ikeoka, Kuniyasu ^{[1
]}

Watanabe, Tetsuya ^{[1
]}

Ohkawa, Toshika ^{[2
]}

Tsuzuki, Takashi ^{[2
]}

Ikeda, Yoshihiko ^{[4
]}

Takeda, Masashi ^{[3
]}

Hoshida, Shiro ^{[1
]}

机构：

[1] Yao Municipal Hosp, Dept Cardiovasc Med, 1-3-1 Ryuge Cho, Yao, Osaka 5810069, Japan

[2] Yao Municipal Hosp, Dept Neurosurg, Yao, Osaka, Japan

[3] Yao Municipal Hosp, Dept Pathol, Yao, Osaka, Japan

[4] Natl Cerebral & Cardiovasc Ctr Hosp, Dept Pathol, Osaka, Japan

来源：

JOURNAL OF VASCULAR SURGERY CASES AND INNOVATIVE TECHNIQUES | 2019年 / 5卷 / 03期

关键词：

Cerebral infarction; Endovascular therapy; IgG4-related disease; Mikulicz's disease; Small-sized vasculitis;

D O I：

10.1016/j.jvscit.2019.03.019

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Mikulicz's disease is one of the IgG4-related diseases (IgG4-RDs) that involves the cardiovascular system; however, small-sized vasculitis is rare in IgG4-related diseases. A 64-year-old man presented with distal occlusive disease and developed left cerebrovascular infarction with occlusion of the middle cerebral artery and diseased temporal artery branches. He underwent superficial temporal artery-middle cerebral artery anastomosis surgery. Histology of the temporal artery biopsy showed smooth muscle cell proliferation with many IgG4-positive plasma cells. He then developed salivary gland inflammation, and Mikulicz's disease was diagnosed. Small-sized occlusive vasculitis was observed in this IgG4-RD. Low-dose corticosteroid therapy is effective in preventing progressive occlusive disease.

引用

页码：289 / 292

页数：4

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