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Multifocal fibrosclerosis and IgG4-related disease involving the cardiovascular system.

Abstract：

:The cardiovascular system may be involved as a target organ of multifocal fibrosclerosis, which may manifest as idiopathic retroperitoneal fibrosis, inflammatory aortic aneurysm, inflammatory periarteritis, and inflammatory pericarditis. These pathological conditions can sometimes occur concomitantly. Idiopathic retroperitoneal fibrosis and inflammatory abdominal aortic aneurysm are both characterized by the presence of fibro-inflammatory tissue around the abdominal aorta expanding into the surrounding retroperitoneal structures, and together they may be termed 'chronic periaortitis'. Cardiovascular fibrosclerosis has become non-uncommonly encountered condition since imaging modalities have made its diagnosis more feasible. In addition, recent studies have demonstrated that a certain fraction, but not all, of cardiovascular fibrosclerosis may have a link with immunoglobulin-G4 (IgG4)-related sclerosing disease (IgG4-SD). IgG4-SD is histologically characterized by dense fibrosclerosis and infiltration of lymphocytes and IgG4-positive plasma cells, and these histopathologic findings seem to be essentially similar regardless of the organs involved. In this mini review, we summarize what is known so far about multifocal fibrosclerosis of the cardiovascular system and its association with IgG4-SD, and what remains to be clarified in future investigations.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Ishizaka N,Sakamoto A,Imai Y,Terasaki F,Nagai R

doi

10.1016/j.jjcc.2011.10.005

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

132-8

issue

2

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(11)00218-8

journal_volume

59

pub_type

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