IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion
IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2023/9223342 |
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| author | Hirohito Sugawara Tomokazu Takahashi Yukishige Kimura Azumi Matsui Tamaki Matsumoto Kimio Nishisato Mitsuhiro Nishimura |
| author_facet | Hirohito Sugawara Tomokazu Takahashi Yukishige Kimura Azumi Matsui Tamaki Matsumoto Kimio Nishisato Mitsuhiro Nishimura |
| author_sort | Hirohito Sugawara |
| collection | DOAJ |
| description | IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The patient underwent pericardial drainage, and the symptoms were gradually alleviated. IgG4 levels were elevated in the serum and pericardial effusions. A biopsy specimen of 18F-FDG accumulated in the submandibular gland showed lymphocyte infiltration with IgG4-positive cells. The patient was diagnosed with IgG4-related pericarditis. Glucocorticoids resolved serological and imaging abnormalities. Prompt treatment improves the disease status. |
| format | Article |
| id | doaj-art-64de72dda802472eae43d5ac31513d7d |
| institution | OA Journals |
| issn | 2090-6412 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-64de72dda802472eae43d5ac31513d7d2025-08-20T02:06:36ZengWileyCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/9223342IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial EffusionHirohito Sugawara0Tomokazu Takahashi1Yukishige Kimura2Azumi Matsui3Tamaki Matsumoto4Kimio Nishisato5Mitsuhiro Nishimura6Department of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyDepartment of CardiologyIgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The patient underwent pericardial drainage, and the symptoms were gradually alleviated. IgG4 levels were elevated in the serum and pericardial effusions. A biopsy specimen of 18F-FDG accumulated in the submandibular gland showed lymphocyte infiltration with IgG4-positive cells. The patient was diagnosed with IgG4-related pericarditis. Glucocorticoids resolved serological and imaging abnormalities. Prompt treatment improves the disease status.http://dx.doi.org/10.1155/2023/9223342 |
| spellingShingle | Hirohito Sugawara Tomokazu Takahashi Yukishige Kimura Azumi Matsui Tamaki Matsumoto Kimio Nishisato Mitsuhiro Nishimura IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion Case Reports in Cardiology |
| title | IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion |
| title_full | IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion |
| title_fullStr | IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion |
| title_full_unstemmed | IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion |
| title_short | IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion |
| title_sort | igg4 related pericarditis diagnosed by accumulated pericardial effusion |
| url | http://dx.doi.org/10.1155/2023/9223342 |
| work_keys_str_mv | AT hirohitosugawara igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT tomokazutakahashi igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT yukishigekimura igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT azumimatsui igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT tamakimatsumoto igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT kimionishisato igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion AT mitsuhironishimura igg4relatedpericarditisdiagnosedbyaccumulatedpericardialeffusion |