积液诊断igg4相关性心包炎。

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Case Reports in Cardiology Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI:10.1155/2023/9223342

Hirohito Sugawara, Tomokazu Takahashi, Yukishige Kimura, Azumi Matsui, Tamaki Matsumoto, Kimio Nishisato, Mitsuhiro Nishimura

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引用次数: 0

摘要

igg4相关的心包炎很少有报道。在此，我们报告一例以心包积液表现的igg4相关疾病。一位67岁女性，因大量心包积液需要引流而入院，她表现为心悸和胸痛。患者行心包引流，症状逐渐缓解。血清和心包积液中IgG4水平升高。在颌下腺积累的18F-FDG活检标本显示淋巴细胞浸润igg4阳性细胞。患者被诊断为igg4相关性心包炎。糖皮质激素解决血清学和影像学异常。及时治疗可改善病情。

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IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion.

IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The patient underwent pericardial drainage, and the symptoms were gradually alleviated. IgG4 levels were elevated in the serum and pericardial effusions. A biopsy specimen of ¹⁸F-FDG accumulated in the submandibular gland showed lymphocyte infiltration with IgG4-positive cells. The patient was diagnosed with IgG4-related pericarditis. Glucocorticoids resolved serological and imaging abnormalities. Prompt treatment improves the disease status.

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来源期刊

Case Reports in Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Case Reports in Cardiology is a peer-reviewed, Open Access journal that publishes case reports and case series related to hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease and cardiomyopathy.