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21.01.2016 | Case Report

A case of IgG4-related lymphadenopathy, pericarditis, coronary artery periarteritis and luminal stenosis

verfasst von: Ryoto Hourai, Masatoshi Miyamura, Ryunosuke Tasaki, Akiko Iwata, Yoshihiro Takeda, Hideaki Morita, Nobuharu Hanaoka, Jun Tanigawa, Kensaku Shibata, Atsushi Takeshita, Mitsuhiro Kawano, Yasuharu Sato, Yoshinobu Hirose, Nobukazu Ishizaka

Erschienen in: Heart and Vessels | Ausgabe 10/2016

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Abstract

Immunoglobulin G4 (IgG4)-related disease is an emerging new clinicopathological disorder that is characterized by elevation of serum IgG4 levels and histological findings of IgG4-positive plasmacytic infiltration. IgG4-related disease may appear synchronously or metachronously in a wide variety of organs. The current patient was found to have pericardial effusion and retroperitoneal fibrosis. He was subsequently diagnosed with coronary artery stenosis. ¹⁸F-FDG positron emission tomography showed enhanced FDG uptake in lymph nodes as well as pericardial and peri-aortic tissue. Histopathology of the mediastinal lymph node showed the infiltration of numerous IgG4-positive cells, leading to the diagnosis of IgG4-related lymphadenopathy with pericardial and periarterial involvement.

Hamano H, Kawa S, Horiuchi A, Unno H, Furuya N, Akamatsu T, Fukushima M, Nikaido T, Nakayama K, Usuda N, Kiyosawa K (2001) High serum IgG4 concentrations in patients with sclerosing pancreatitis. N Engl J Med 344:732–738CrossRefPubMed

Stone JH, Zen Y, Deshpande V (2012) IgG4-related disease. N Engl J Med 366:539–551CrossRefPubMed

Sakamoto A, Nagai R, Saito K, Imai Y, Takahashi M, Hosoya Y, Takeda N, Hirano K, Koike K, Enomoto Y, Kume H, Homma Y, Maeda D, Yamada H, Fukayama M, Hirata Y, Ishizaka N (2012) Idiopathic retroperitoneal fibrosis, inflammatory aortic aneurysm, and inflammatory pericarditis–retrospective analysis of 11 case histories. J Cardiol 59:139–146CrossRefPubMed

Tanigawa J, Daimon M, Murai M, Katsumata T, Tsuji M, Ishizaka N (2012) Immunoglobulin G4-related coronary periarteritis in a patient presenting with myocardial ischemia. Hum Pathol 43:1131–1134CrossRefPubMed

Deshpande V, Zen Y, Chan JK, Yi EE, Sato Y, Yoshino T, Kloppel G, Heathcote JG, Khosroshahi A, Ferry JA, Aalberse RC, Bloch DB, Brugge WR, Bateman AC, Carruthers MN, Chari ST, Cheuk W, Cornell LD, Fernandez-Del Castillo C, Forcione DG, Hamilos DL, Kamisawa T, Kasashima S, Kawa S, Kawano M, Lauwers GY, Masaki Y, Nakanuma Y, Notohara K, Okazaki K, Ryu JK, Saeki T, Sahani DV, Smyrk TC, Stone JR, Takahira M, Webster GJ, Yamamoto M, Zamboni G, Umehara H, Stone JH (2012) Consensus statement on the pathology of IgG4-related disease. Mod Pathol 25:1181–1192CrossRefPubMed

Okazaki K, Umehara H (2012) Are classification criteria for IgG4-RD now possible? The concept of IgG4-related disease and proposal of comprehensive diagnostic criteria in Japan. Int J Rheumatol 2012:357071PubMedPubMedCentral

Masaki Y, Sugai S, Umehara H (2010) IgG4-related diseases including Mikulicz’s disease and sclerosing pancreatitis: diagnostic insights. J Rheumatol 37:1380–1385CrossRefPubMed

Shimosegawa T, Chari ST, Frulloni L, Kamisawa T, Kawa S, Mino-Kenudson M, Kim MH, Kloppel G, Lerch MM, Lohr M, Notohara K, Okazaki K, Schneider A, Zhang L (2011) International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the international association of pancreatology. Pancreas 40:352–358CrossRefPubMed

Kawano M, Saeki T, Nakashima H, Nishi S, Yamaguchi Y, Hisano S, Yamanaka N, Inoue D, Yamamoto M, Takahashi H, Nomura H, Taguchi T, Umehara H, Makino H, Saito T (2011) Proposal for diagnostic criteria for IgG4-related kidney disease. Clin Exp Nephrol 15:615–626CrossRefPubMed

10.

Fujii M, Sato Y, Ohara N, Hashimoto K, Kobashi H, Koyama Y, Yoshino T (2014) Systemic IgG4-related disease with extensive peripheral nerve involvement that progressed from localized IgG4-related lymphadenopathy: an autopsy case. Diagn Pathol 9:41CrossRefPubMedPubMedCentral

11.

Takeuchi M, Sato Y, Yasui H, Ozawa H, Ohno K, Takata K, Gion Y, Orita Y, Tachibana T, Itoh T, Asano N, Nakamura S, Swerdlow SH, Yoshino T (2014) Epstein-Barr virus-infected cells in IgG4-related lymphadenopathy with comparison with extranodal IgG4-related disease. Am J Surg Pathol 38:946–955CrossRefPubMed

12.

Sato Y, Yoshino T (2012) IgG4-related lymphadenopathy. Int J Rheumatol 2012:572539PubMedPubMedCentral

13.

Sato Y, Kojima M, Takata K, Morito T, Asaoku H, Takeuchi T, Mizobuchi K, Fujihara M, Kuraoka K, Nakai T, Ichimura K, Tanaka T, Tamura M, Nishikawa Y, Yoshino T (2009) Systemic IgG4-related lymphadenopathy: a clinical and pathologic comparison to multicentric Castleman’s disease. Mod Pathol 22:589–599CrossRefPubMed

14.

Nishimoto N, Kanakura Y, Aozasa K, Johkoh T, Nakamura M, Nakano S, Nakano N, Ikeda Y, Sasaki T, Nishioka K, Hara M, Taguchi H, Kimura Y, Kato Y, Asaoku H, Kumagai S, Kodama F, Nakahara H, Hagihara K, Yoshizaki K, Kishimoto T (2005) Humanized anti-interleukin-6 receptor antibody treatment of multicentric Castleman disease. Blood 106:2627–2632CrossRefPubMed

15.

Cheuk W, Chan JK (2012) Lymphadenopathy of IgG4-related disease: an underdiagnosed and overdiagnosed entity. Semin Diagn Pathol 29:226–234CrossRefPubMed

16.

Mizushima I, Inoue D, Yamamoto M, Yamada K, Saeki T, Ubara Y, Matsui S, Masaki Y, Wada T, Kasashima S, Harada K, Takahashi H, Notohara K, Nakanuma Y, Umehara H, Yamagishi M, Kawano M (2014) Clinical course after corticosteroid therapy in IgG4-related aortitis/periaortitis and periarteritis: a retrospective multicenter study. Arthritis Res Ther 16:R156CrossRefPubMedPubMedCentral

17.

Ikutomi M, Matsumura T, Iwata H, Nishimura G, Ishizaka N, Hirata Y, Ono M, Nagai R (2011) Giant tumorous lesions (correction of legions) surrounding the right coronary artery associated with immunoglobulin-G4-related systemic disease. Cardiology 120:22–26CrossRefPubMed

18.

Kasashima S, Kawashima A, Kasashima F, Endo M, Matsumoto Y, Kawakami K, Kayahara M, Ohta H, Yano M, Marukawa Y (2014) Immunoglobulin G4-related periaortitis complicated by aortic rupture and aortoduodenal fistula after endovascular AAA repair. J Endovasc Ther 21:589–597CrossRefPubMed

19.

Tajima M, Hiroi Y, Takazawa Y, Muraoka H, Iwata H, Yamashita H, Hirata Y, Nagai R (2014) Immunoglobulin G4-related multiple systemic aneurysms and splenic aneurysm rupture during steroid therapy. Hum Pathol 45:175–179CrossRefPubMed

20.

Matsumoto Y, Kasashima S, Kawashima A, Sasaki H, Endo M, Kawakami K, Zen Y, Nakanuma Y (2008) A case of multiple immunoglobulin G4-related periarteritis: a tumorous lesion of the coronary artery and abdominal aortic aneurysm. Hum Pathol 39:975–980CrossRefPubMed

21.

Kusumoto S, Kawano H, Takeno M, Kawahara F, Abe K, Hayashi H, Koide Y, Memura K (2012) Mass lesions surrounding coronary artery associated with immunoglobulin G4-related disease. J Cardiol Cases 5:e150–e154CrossRef

22.

Kurosawa T, Kotani J, Matsuyama TA, Ishibashi-Ueda H (2015) A case of active peri-stent inflammation after sirolimus-eluting stent implantation. Heart Vessels 30:270–273CrossRefPubMed

23.

Funada A, Kanzaki H, Nagano N, Sugano Y, Ohara T, Hasegawa T, Ishibashi-Ueda H, Kitakaze M, Anzai T (2015) Late aneurysm formation of Valsalva sinus after aortic valve replacement due to Takayasu’s arteritis. Heart Vessels 30:558–562CrossRefPubMed

Titel: A case of IgG4-related lymphadenopathy, pericarditis, coronary artery periarteritis and luminal stenosis
verfasst von: Ryoto Hourai
Masatoshi Miyamura
Ryunosuke Tasaki
Akiko Iwata
Yoshihiro Takeda
Hideaki Morita
Nobuharu Hanaoka
Jun Tanigawa
Kensaku Shibata
Atsushi Takeshita
Mitsuhiro Kawano
Yasuharu Sato
Yoshinobu Hirose
Nobukazu Ishizaka
Publikationsdatum: 21.01.2016
Verlag: Springer Japan
Erschienen in: Heart and Vessels / Ausgabe 10/2016
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-016-0794-1

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