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Constrictive pericarditis as an emerging manifestation of hyper-IgG4 disease.

Abstract：

: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.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Sugimoto T,Morita Y,Isshiki K,Yamamoto T,Uzu T,Kashiwagi A,Horie M,Asai T

doi

10.1016/j.ijcard.2007.06.111

subject

Has Abstract

pub_date

2008-11-28 00:00:00

pages

e100-1

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(07)01430-1

journal_volume

130

pub_type

信件

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