Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
CASE REPORTS
Pericardial Involvement in IgG4-related Disease
Kiyoo MoriKazunori YamadaTetsuo KonnoDai InoueYoshihide UnoMichio WatanabeMiho OkudaKotaro OeMitsuhiro KawanoMasakazu Yamagishi
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JOURNALS OPEN ACCESS

Volume 54 (2015) Issue 10 Pages 1231-1235

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Abstract

We herein report the case of a 65-year-old man with pericardial involvement associated with autoimmune pancreatitis. Chest CT imaging showed pericardial thickening. The patient responded to corticosteroid therapy, and the pericardial thickening resolved. Multiple organs are involved in immunoglobulin G4 (IgG4)-related disease (IgG4-RD); however, only a few cases of IgG4-related chronic constrictive pericarditis have been reported. To our knowledge, this is the first reported case of IgG4-RD with pericardial involvement at an early stage. This case indicates that recognizing pericardial complications in autoimmune pancreatitis is important and that CT imaging may be useful for obtaining the diagnosis and providing follow-up of pericardial lesions in cases of IgG4-RD.

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© 2015 by The Japanese Society of Internal Medicine
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