Constrictive pericarditis as an emerging manifestation of hyper-IgG4 disease

被引：57

作者：

Sugimoto, Toshiro ^{[1
]}

Morita, Yoshikata ^{[1
]}

Isshiki, Keiji ^{[1
]}

Yamamoto, Takashi ^{[1
]}

Uzu, Takashi ^{[1
]}

Kashiwagi, Atsunori ^{[1
]}

Horie, Minoru ^{[1
]}

Asai, Tohru ^{[2
]}

机构：

[1] Shiga Univ Med Sci, Dept Internal Med, Shiga 5202192, Japan

[2] Shiga Univ Med Sci, Dept Surg, Shiga 5202192, Japan

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2008年 / 130卷 / 03期

关键词：

Constrictive pericarditis; Fever of unknown origin; Hyper-IgG4; disease; Pleural fibrosis;

D O I：

10.1016/j.ijcard.2007.06.111

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 68-year-old Japanese man was admitted for evaluation of right pleural effusion and bilateral leg edema that had progressively worsened over 6 months. As chest computed tomography revealed marked pericardial thickening, we performed a pericardiectomy, resulting in the remarkable improvement of his clinical manifestations. However, pleural fibrosis associated with fever of unknown origin soon developed. An elevated serum level of serum IgG4 and infiltration of IgG4-positive plasma cell in the resected pericardium were identified; thus, our patient might have hyper-IgG4 disease. Our case is the first report describing constrictive pericarditis as an initial manifestation of hyper-IgG4 disease. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：E100 / E101

页数：2

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