IgG4-related disease in a non-healing gastric ulcer: case report

被引:0
作者
Moyer, Amanda B. [1 ]
Schwartz, Mary R. [1 ]
Lim, Sherry [2 ]
Tompson, Matthew L. [3 ]
Ro, Jae Y. [1 ]
机构
[1] Cornell Univ, Weill Med Coll, Houston Methodist Hosp, Dept Pathol & Genom Med, 6565 Fannin St, Houston, TX 77030 USA
[2] Cornell Univ, Weill Med Coll, Houston Methodist Hosp, Dept Surg, Houston, TX 77030 USA
[3] Cornell Univ, Weill Med Coll, Houston Methodist Hosp, Dept Gastroenterol, Houston, TX 77030 USA
关键词
IgG4; gastric ulcer; PLASMA-CELL INFILTRATION; PANCREATITIS;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We report a 28-year-old woman with a refractory gastric ulcer in the absence of Helicobacter pylori infection and autoimmune pancreatitis. Histologic examination of the gastric ulcer demonstrated abundant IgG4 positive plasma cells populating a lymphoplasmacytic infiltrate with associated sclerosis. Our case suggests that treatment-refractory peptic ulcer may be related to IgG4-related inflammation. When a biopsy performed to evaluate a refractory ulcer reveals abundant plasma cells and sclerotic fibrosis, an immunohistochemical stain for IgG4 and serum IgG4 measurement might be considered.
引用
收藏
页码:6588 / 6591
页数:4
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