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A Case of IgG4-related Pericarditis with Constrictive Pericarditis Yuzo Miki 1 , Misako Nishimura 1 , Arata Sugitani 1 , Kenji Nakahama 1 , Mitsuhiro Sumitani 1 , Seiichi Shoji 1 1Department of Respiratory Medicine, Osaka City General Hospital Keyword: IgG4関連疾患 , 心胸膜肥厚 , 収縮性心膜炎 , IgG4-related disease , pericardial and pleura thickening , constrictive pericarditis pp.1037-1042
Published Date 2016/10/15
DOI https://doi.org/10.11477/mf.1404206053
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 A 73-year-old man came to our hospital in chief complaint for exertional dyspnea and both leg edema for more than one month. We checked the pericardium and pleural thickening findings in chest CT, and findings of the abnormal accumulation to the thickened pericardium and pleura in PET-CT. And more, echocardiography findings showed evidence of constrictive pericarditis. We tried the pleural biopsy, and this findings show IgG4-positive plasma cells infiltration. We diagnosed IgG4-related pericarditis with constrictive pericarditis. His symptom improved shortly after that we started steroid treatment. Afterward, we reduced the steroid administration, He is doing well without any signs of recurrence.

 There are few reports of IgG4-related pericarditis with constrictive pericarditis,

 While many cases are described in many organ systems such as pancreas, bile duct, lacrimal gland, salivary gland and/or retroperitoneum. This is rare case of IgG4-related pericarditis with constrictive pericarditis. IgG4-related diseases should be included in the differential diagnosis of pericardial diseases.


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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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