A case of IgG4-related tubulointerstitial nephritis and membranous glomerulonephritis during the clinical course of gastric cancer: Imaging features of IgG4-related kidney disease.

Abstract:

:We describe an 81-year-old man with immunoglobulin G4-related disease (IgG4-RD) presenting with submandibular gland, lymph node, lung, kidney, aortic wall, and prostate lesions with concomitant gastric cancer. After curative surgical treatment of the gastric cancer, corticosteroid therapy for progressively decreasing renal function was started. Before starting steroid therapy, fluorodeoxyglucose positron emission tomography-computed tomography revealed multiple lesions of IgG4-RD but no metastasis of the cancer. However, the patient died 3 months after initiation of corticosteroid therapy because of recurrence of the gastric cancer. In this case, the imaging features of IgG4-tubulointerstitial nephritis dramatically changed during the clinical course of co-existing gastric cancer. The imaging features of the present case may provide clues to the pattern of spread of IgG4 lesions in the kidney.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Horita S,Fujii H,Mizushima I,Fujisawa Y,Hara S,Yamada K,Inoue D,Nakajima K,Harada K,Kawano M

doi

10.1080/14397595.2016.1245238

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

542-546

issue

3

eissn

1439-7595

issn

1439-7609

journal_volume

29

pub_type

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