IgG4-related Lung Pseudotumor and Pleural Inflammation with Autoimmune Hepatitis

被引：10

作者：

Nagashima, Kazunori ^{[1
]}

Sano, Itsuki ^{[2
]}

Kobayashi, Tomoe ^{[1
]}

Eto, Kazunori ^{[1
]}

Nagai, Kosuke ^{[1
]}

Ninomiya, Ryusuke ^{[3
]}

Suzuki, Akira ^{[4
,5
]}

Oohata, Yoshihiro ^{[3
]}

Konishi, Kouhei ^{[1
]}

Nakano, Tsuyoshi ^{[3
]}

Yamamoto, Fumiyasu ^{[1
]}

机构：

[1] Tomakomai City Hosp, Gastroenterol Med, Tomakomai, Hokkaido, Japan

[2] Hokkaido Univ, Grad Sch Med, Dept Gastroenterol & Hepatol, Sapporo, Hokkaido, Japan

[3] Tomakomai City Hosp, Resp Med, Tomakomai, Hokkaido, Japan

[4] Tomakomai City Hosp, Dept Pathol, Tomakomai, Hokkaido, Japan

[5] KKR Sapporo Med Ctr, Dept Pathol, Sapporo, Hokkaido, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 01期

关键词：

IgG4; lung pseudotumor; autoimmune hepatitis; SYSTEMIC-DISEASE; PLASMA-CELLS; FDG PET/CT; PANCREATITIS; DIAGNOSIS; FEATURES; CANCER; COHORT;

D O I：

10.2169/internalmedicine.9026-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 63-year-old man was admitted to our department following a secondary medical examination. Blood tests showed high levels of liver enzymes, IgG, IgG4, and antinuclear antibody. Computed tomography showed tumors in the bilateral lower lobes of the lungs and pleural thickening. After pleural and liver biopsy procedures, he was conclusively diagnosed with IgG4-related lung pseudotumor and pleural inflammation with autoimmune hepatitis. We started treatment with prednisolone 40 mg/day, and chest radiograph and blood tests showed signs of improvement. This was a rare case that suggested an association between IgG4-related disease and autoimmune hepatitis.

引用

页码：43 / 48

页数：6

共 26 条

[1] Identification and characterization of IgG4-associated autoimmune hepatitis [J].

Chung, Hobyung ;

Watanabe, Tomohiro ;

Kudo, Masatoshi ;

Maenishi, Osamu ;

Wakatsuki, Yoshio ;

Chiba, Tsutomu .

LIVER INTERNATIONAL, 2010, 30 (02) :222-231

[2] FDG-PET maximum standardised uptake value is associated with variation in survival: Analysis of 498 lung cancer patients [J].

Davies, Andrew ;

Tan, Carol ;

Paschalides, Christos ;

Barrington, Sally F. ;

O'Doherty, Mike ;

Utley, Martin ;

Treasure, Tom .

LUNG CANCER, 2007, 55 (01) :75-78

[3] IgG4-Related Systemic Disease Features and Treatment Response in a French Cohort: Results of a Multicenter Registry [J].

Ebbo, Mikael ;

Daniel, Laurent ;

Pavic, Michel ;

Seve, Pascal ;

Hamidou, Mohamed ;

Andres, Emmanuel ;

Burtey, Stephane ;

Chiche, Laurent ;

Serratrice, Jacques ;

Longy-Boursier, Maite ;

Ruivard, Marc ;

Haroche, Julien ;

Godeau, Bertrand ;

Beucher, Anne-Berengere ;

Berthelot, Jean-Marie ;

Papo, Thomas ;

Pennaforte, Jean-Loup ;

Benyamine, Audrey ;

Jourde, Noemie ;

Landron, Cedric ;

Roblot, Pascal ;

Moranne, Olivier ;

Silvain, Christine ;

Granel, Brigitte ;

Bernard, Fanny ;

Veit, Veronique ;

Mazodier, Karin ;

Bernit, Emmanuelle ;

Rousset, Hugues ;

Boucraut, Jose ;

Boffa, Jean-Jacques ;

Weiller, Pierre-Jean ;

Kaplanski, Gilles ;

Aucouturier, Pierre ;

Harle, Jean-Robert ;

Schleinitz, Nicolas .

MEDICINE, 2012, 91 (01) :49-56

[4] Immunoglobulin G4-related infl ammatory pseudotumor of the lung [J].

Fujiu K. ;

Sakuma H. ;

Miyamoto H. ;

Yamaguchi B. .

General Thoracic and Cardiovascular Surgery, 2010, 58 (3) :144-148

[5] Hydronephrosis associated with retroperitoneal fibrosis and sclerosing pancreatitis [J].

Hamano, H ;

Kawa, S ;

Ochi, Y ;

Unno, H ;

Shiba, N ;

Wajiki, M ;

Nakazawa, K ;

Shimojo, H ;

Kiyosawa, K .

LANCET, 2002, 359 (9315) :1403-1404

[6] Immunoglobulin G4-related Lung Disease: CT Findings with Pathologic Correlations [J].

Inoue, Dai ;

Zen, Yoh ;

Abo, Hitoshi ;

Gabata, Toshifumi ;

Demachi, Hiroshi ;

Kobayashi, Takeshi ;

Yoshikawa, Jyun ;

Miyayama, Shiro ;

Yasui, Masahide ;

Nakanuma, Yasuni ;

Matsui, Osamu .

RADIOLOGY, 2009, 251 (01) :260-270

[7] Immunoglobulin G4-associated autoimmune hepatitis later complicated by autoimmune pancreatitis: A case report [J].

Ishizu, Yoji ;

Ishigami, Masatoshi ;

Kuzuya, Teiji ;

Honda, Takashi ;

Hayashi, Kazuhiko ;

Nakano, Isao ;

Hirooka, Yoshiki ;

Goto, Hidemi .

HEPATOLOGY RESEARCH, 2016, 46 (06) :601-606

[8] Standard steroid treatment for autoimmune pancreatitis [J].

Kamisawa, T. ;

Shimosegawa, T. ;

Okazaki, K. ;

Nishino, T. ;

Watanabe, H. ;

Kanno, A. ;

Okumura, F. ;

Nishikawa, T. ;

Kobayashi, K. ;

Ichiya, T. ;

Takatori, H. ;

Yamakita, K. ;

Kubota, K. ;

Hamano, H. ;

Okamura, K. ;

Hirano, K. ;

Ito, T. ;

Ko, S. B. H. ;

Omata, M. .

GUT, 2009, 58 (11) :1504-1507

[9] IgG4-related lung disease showing high standardized uptake values on FDG-PET: report of two cases [J].

Kitada, Masahiro ;

Matuda, Yoshinari ;

Hayashi, Satoshi ;

Ishibashi, Kei ;

Oikawa, Kensuke ;

Miyokawa, Naoyuki ;

Ohsaki, Yoshinobu .

JOURNAL OF CARDIOTHORACIC SURGERY, 2013, 8

[10]

Matsui S., 2015, AJRS, V4, P129

← 1 2 3 →