A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements

We report a case of IgG4-related disease (IgG4-RD) with multiple ten-organ involvement. This case showed many clinical findings, such as bilateral swelling of salivary and lacrimal glands, autoimmune pancreatitis, interstitial nephritis, retroperitoneal fibrosis, periaortitis, systemic swelling of l...

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Main Authors: Kazuhiko Higashioka, Kenji Yoshida, Kensuke Oryoji, Kazuo Kamada, Shinichi Mizuki, Hiroshi Tsukamoto, Eisuke Yokota, Koichi Akashi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2015/392893
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author Kazuhiko Higashioka
Kenji Yoshida
Kensuke Oryoji
Kazuo Kamada
Shinichi Mizuki
Hiroshi Tsukamoto
Eisuke Yokota
Koichi Akashi
author_facet Kazuhiko Higashioka
Kenji Yoshida
Kensuke Oryoji
Kazuo Kamada
Shinichi Mizuki
Hiroshi Tsukamoto
Eisuke Yokota
Koichi Akashi
author_sort Kazuhiko Higashioka
collection DOAJ
description We report a case of IgG4-related disease (IgG4-RD) with multiple ten-organ involvement. This case showed many clinical findings, such as bilateral swelling of salivary and lacrimal glands, autoimmune pancreatitis, interstitial nephritis, retroperitoneal fibrosis, periaortitis, systemic swelling of lymph nodes, pulmonary lesions, splenomegaly, and jejunal lesions. He was suspected as having SLE or malignant lymphoma but diagnosed as having IgG4-RD by the elevated serum IgG4 level and histological findings from kidney and lymph node. We report a case of IgG4-RD with multiple ten-organ involvement that was successfully treated with prednisolone therapy.
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institution Kabale University
issn 2090-6889
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language English
publishDate 2015-01-01
publisher Wiley
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series Case Reports in Rheumatology
spelling doaj-art-6c8eb1c026894187b8df04aa145857812025-02-03T01:11:15ZengWileyCase Reports in Rheumatology2090-68892090-68972015-01-01201510.1155/2015/392893392893A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan InvolvementsKazuhiko Higashioka0Kenji Yoshida1Kensuke Oryoji2Kazuo Kamada3Shinichi Mizuki4Hiroshi Tsukamoto5Eisuke Yokota6Koichi Akashi7Division of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDivision of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDivision of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDivision of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDivision of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDepartment of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanDivision of Rheumatology, Matsuyama Red Cross Hospital, 1 Bunkyo-tyo, Matsuyama, Ehime 790-0826, JapanDepartment of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanWe report a case of IgG4-related disease (IgG4-RD) with multiple ten-organ involvement. This case showed many clinical findings, such as bilateral swelling of salivary and lacrimal glands, autoimmune pancreatitis, interstitial nephritis, retroperitoneal fibrosis, periaortitis, systemic swelling of lymph nodes, pulmonary lesions, splenomegaly, and jejunal lesions. He was suspected as having SLE or malignant lymphoma but diagnosed as having IgG4-RD by the elevated serum IgG4 level and histological findings from kidney and lymph node. We report a case of IgG4-RD with multiple ten-organ involvement that was successfully treated with prednisolone therapy.http://dx.doi.org/10.1155/2015/392893
spellingShingle Kazuhiko Higashioka
Kenji Yoshida
Kensuke Oryoji
Kazuo Kamada
Shinichi Mizuki
Hiroshi Tsukamoto
Eisuke Yokota
Koichi Akashi
A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
Case Reports in Rheumatology
title A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
title_full A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
title_fullStr A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
title_full_unstemmed A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
title_short A Case of Immunoglobulin G4-Related Disease with Extensive Multiorgan Involvements
title_sort case of immunoglobulin g4 related disease with extensive multiorgan involvements
url http://dx.doi.org/10.1155/2015/392893
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