Constrictive Pericarditis Caused by Immunoglobulin G4–Related Disease

Yanagi, Hiromasa; Yamazaki, Ichiya; Shimizu, Satoru; Himeno, Hideo; Suzuki, Shinichi; Masuda, Munetaka

doi:10.1016/j.athoracsur.2013.10.085

Cited by 13 publications

(16 citation statements)

References 6 publications

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“…Seo, Yanagi, and Matsuzaki each presented cases with IgG4-related constrictive pericarditis. [29][30][31] In three of the cases, results from pericardium specimens were consistent with IgG4-related disease. All patients were treated with pericardiectomy, and in some cases this was followed by corticosteroid therapy (Seo and Yanagi cases only).…”

Section: Pericardial Lesionsmentioning

confidence: 99%

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Immunoglobulin G4-Related Cardiovascular Diseases

Misawa

2017

ATCS

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Section: Pericardial Lesionsmentioning

confidence: 99%

“…[26][27][28][29][30][31] Matsumiya and colleagues detected IgG4-positive plasma cells in a biopsy specimen from a 50-year-old woman with a thickened pericardium. 26) Clinical fever symptoms and elevated serum IgG4 were promptly resolved by administration of a moderate-dose glucocorticoid.…”

Section: Pericardial Lesionsmentioning

confidence: 99%

Immunoglobulin G4-Related Cardiovascular Diseases

Misawa

2017

ATCS

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“…This indicates that not only the pathological but also the clinical presentation of IgG4-RD may be distinct among the tissues involved. Accordingly, IgG4-related pericardial disease is mostly characterized by fibrosis of the thickened pericardium and clinical presentation of constrictive pericarditis; however, one report has described acute inflammatory pathology in the pericardium (4)(5)(6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Elevated Serum IgG4 Complicated by Pericardial Involvement with a Patchy <sup>18</sup>F-FDG Uptake in PET/CT: Atypical Presentation of IgG4-related Disease

et al. 2015

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IgG4-related pericardial involvement has rarely been reported and its clinical features remain unknown. We herein report a case of a 50-year-old woman with pericarditis who presented with a fever, elevated C-reactive protein levels, elevated serum IgG4 concentrations, and thickened pericardium with a patchy 18 Ffluorodeoxyglucose (FDG) uptake. A biopsy specimen of 18 F-FDG accumulated in the mediastinal lymph nodes revealed an abundant infiltration of IgG4-bearing plasma cells without fibrosis. Moderate-dose glucocorticoids promptly resolved the physical, serological, and imaging abnormalities, thus indicating a relatively acute and reversible nature of IgG4-related pericardial involvement.

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“…Pathologically, the pericardial and pleural manifestations of IgG4-RD are characterized by a diffuse fibrinous thickening with a patchy lymphoplasmacytic infiltrate with IgG4 predominance. [18][19][20] Periaortitis and periarteritis are characterized as diffuse lymphoplasmacytic infiltration, numerous IgG4-positive plasma cells, and irregular fibrosis of the adventitia. 21 Pleural effusions have been previously been reported in IgG4-RD and have been described as exudative with a lymphocyte predominance.…”

Section: Pathologymentioning

confidence: 99%

“…17 Several cases of histologically diagnosed (on autopsy or pericardiectomy) IgG4-RD pericardial disease have been reported as well. [18][19][20] IgG4-RD pericardial disease frequently presents as constrictive pericarditis; Pericardial involvement is usually seen as pericardial thickening on CT.…”

Section: 4 Radiologymentioning

confidence: 99%