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다기관을 침범한 면역글로불린 G4 비연관성 섬유경화성 대동맥주위염

Non-IgG4-Related Fibrosclerosing Periaortitis with Multisystemic Involvement

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초록

Fibrosclerosing periaortitis is a rare condition that refers to a spectrum of idiopathic diseases characterized by a fibroinflammatoryreaction that extends from the adventitia of the aorta into the surrounding structures. It can be present in eitherIgG4-related or non-IgG4-related fibrosclerosing periaortitis. IgG4-related fibrosclerosing periaortitis could be associated withconcomitant multi-organ involvement. However, non-IgG4-related fibrosclerosing periaortitis has rarely been associated withsystemic manifestations. Here, we report a 76-year-old female with non-IgG4-related fibrosclerosing periaortitis, who developedpancytopenia, pleural effusion and ascites, which improved after high dose steroid treatment.

Abstract

Fibrosclerosing periaortitis is a rare condition that refers to a spectrum of idiopathic diseases characterized by a fibroinflammatoryreaction that extends from the adventitia of the aorta into the surrounding structures. It can be present in eitherIgG4-related or non-IgG4-related fibrosclerosing periaortitis. IgG4-related fibrosclerosing periaortitis could be associated withconcomitant multi-organ involvement. However, non-IgG4-related fibrosclerosing periaortitis has rarely been associated withsystemic manifestations. Here, we report a 76-year-old female with non-IgG4-related fibrosclerosing periaortitis, who developedpancytopenia, pleural effusion and ascites, which improved after high dose steroid treatment.

참고문헌 (10)

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  6. Deshpande V, "Consensus statement on the pathology of IgG4-related disease", Mod Pathol, 25, pp.1181~1192 (2012)
  7. Saeki T, "Lymphoplasmacytic infiltration of multiple organs with immunoreactivity for IgG4: IgG4-related systemic disease", Intern Med, 45, pp.163~167 (2006)
  8. Bateman AC, "IgG4-related systemic sclerosing disease-an emerging and under-diagnosed condition", Histopathology, 55, pp.373~383 (2009)
  9. Palmisano A, "Chronic periaortitis: a fibroinflammatory disorder", Best Pract Res Clin Rheumatol, 23, pp.339~353 (2009)
  10. Scheel PJ Jr, "Medical management of retroperitoneal fibrosis", Trans Am Clin Climatol Assoc, 123, pp.283~290 (2012)

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