A Case of Immunoglobulin G4 (IgG4)-Related Disease Diagnosed by Transbronchial Lung Biopsy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Hiroshi ISHIMOTO; Kazuhiro YATERA; Ikuko SHIMABUKURO; Yasumasa MATSUKI; Tetsuya HANAKA; Keishi ODA; Toshinori KAWANAMI; Hiroshi MUKAE

doi:10.7888/juoeh.36.237

[Case Report]

A Case of Immunoglobulin G4 (IgG4)-Related Disease Diagnosed by Transbronchial Lung Biopsy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

Hiroshi ISHIMOTO , Kazuhiro YATERA, Ikuko SHIMABUKURO, Yasumasa MATSUKI, Tetsuya HANAKA, Keishi ODA, Toshinori KAWANAMI, Hiroshi MUKAE

Author information

Hiroshi ISHIMOTO Corresponding author
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Kazuhiro YATERA
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Ikuko SHIMABUKURO
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Yasumasa MATSUKI
Department of Pathology and Cell Biology, School of Medicine, University of Occupational and Environmental Health, Japan
Tetsuya HANAKA
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Keishi ODA
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Toshinori KAWANAMI
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
Hiroshi MUKAE
Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan

Keywords: immunoglobulin G4 (IgG4)-related disease, bronchoscopy, transbronchial lung biopsy, endobronchial ultrasound-guided transbronchial needle aspiration.

JOURNAL FREE ACCESS

2014 Volume 36 Issue 4 Pages 237-242

DOI https://doi.org/10.7888/juoeh.36.237

Details

Abstract

A 62-year-old Japanese man was admitted to our hospital for evaluation of bilateral chest abnormal shadow.His lacrimal, submandibular and parotid glands had been swollen for several years. His serum immunoglobulin G4 (IgG4) level was >1,500 mg/dl, and chest computed tomography showed bilateral reticular opacities with enlarged mediastinal lymph nodes. Transbronchial lung biopsy and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) results suggested IgG4-related disease. This is the first report, to our knowledge, in the English literature showing EBUS-TBNA to be useful for diagnosing IgG4-related disease.

Corresponding author

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