A disclosed diagnosis for 24 year’s unknown illness
IgG4-related disease (IgG4-RD) is a newly described illness over the last several years. A 57-year-old man, who had been followed for chronic kidney disease (CKD), chronic pancreatitis and history of operated cholangitis, was admitted to our hospital for abdominal pain and worsening renal function....
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| Published in: | BMJ case reports Vol. 2017; p. bcr-2017-221317 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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BMJ Publishing Group LTD
20-12-2017
BMJ Publishing Group |
| Series: | Case Report |
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| Abstract | IgG4-related disease (IgG4-RD) is a newly described illness over the last several years. A 57-year-old man, who had been followed for chronic kidney disease (CKD), chronic pancreatitis and history of operated cholangitis, was admitted to our hospital for abdominal pain and worsening renal function. Serum levels of IgG and IgG4 were elevated. CT scan showed the characteristic findings of IgG4-related retroperitoneal fibrosis, pancreas and kidney disease. An endoscopic biopsy revealed the finding compatible with IgG4-RD. Steroid therapy led to the remission of his abdominal pain. Patients with CKD of unknown aetiology may have IgG4-RD. |
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| AbstractList | IgG4-related disease (IgG4-RD) is a newly described illness over the last several years. A 57-year-old man, who had been followed for chronic kidney disease (CKD), chronic pancreatitis and history of operated cholangitis, was admitted to our hospital for abdominal pain and worsening renal function. Serum levels of IgG and IgG4 were elevated. CT scan showed the characteristic findings of IgG4-related retroperitoneal fibrosis, pancreas and kidney disease. An endoscopic biopsy revealed the finding compatible with IgG4-RD. Steroid therapy led to the remission of his abdominal pain. Patients with CKD of unknown aetiology may have IgG4-RD. |
| Author | Uezato, Madoka Kinjo, Kazushi Tokuda, Yasuharu Hanai, Shogo |
| AuthorAffiliation | 2 Internal Medicine , Nakagami General Hospital , Okinawa , Okinawa , Japan 1 Department of Internal Medicine , Nakagami General Hospital , Okinawa , Japan 3 Department of General Internal Medicine , Tsukuba University , Mito , Ibaraki , Japan |
| AuthorAffiliation_xml | – name: 2 Internal Medicine , Nakagami General Hospital , Okinawa , Okinawa , Japan – name: 1 Department of Internal Medicine , Nakagami General Hospital , Okinawa , Japan – name: 3 Department of General Internal Medicine , Tsukuba University , Mito , Ibaraki , Japan |
| Author_xml | – sequence: 1 givenname: Shogo surname: Hanai fullname: Hanai, Shogo email: yasuharu.tokuda@gmail.com organization: Department of Internal Medicine, Nakagami General Hospital, Okinawa, Japan – sequence: 2 givenname: Kazushi surname: Kinjo fullname: Kinjo, Kazushi email: yasuharu.tokuda@gmail.com organization: Internal Medicine, Nakagami General Hospital, Okinawa, Okinawa, Japan – sequence: 3 givenname: Madoka surname: Uezato fullname: Uezato, Madoka email: yasuharu.tokuda@gmail.com organization: Department of Internal Medicine, Nakagami General Hospital, Okinawa, Japan – sequence: 4 givenname: Yasuharu surname: Tokuda fullname: Tokuda, Yasuharu email: yasuharu.tokuda@gmail.com organization: Department of General Internal Medicine, Tsukuba University, Mito, Ibaraki, Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29269359$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0140-6736(14)60720-0 10.1097/MPA.0b013e3182480c99 10.1007/s10067-017-3685-7 10.1007/s00535-003-1175-y 10.1056/NEJM200103083441005 |
| ContentType | Journal Article |
| Copyright | BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Copyright: 2017 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017 |
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| Keywords | Chronic Renal Failure Pancreatitis |
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| References | Kanno, Nishimori, Masamune 2012; 41 Kamisawa, Funata, Hayashi 2003; 38 Xia, Fan, Liu 2017 Hamano, Kawa, Horiuchi 2001; 344 Kamisawa, Zen, Pillai 2015; 385 Kanno (key-10.1136/bcr-2017-221317-3) 2012; 41 Hamano (key-10.1136/bcr-2017-221317-1) 2001; 344 Xia (key-10.1136/bcr-2017-221317-4) 2017 Kamisawa (key-10.1136/bcr-2017-221317-5) 2015; 385 Kamisawa (key-10.1136/bcr-2017-221317-2) 2003; 38 |
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| SubjectTerms | Abdomen Abdominal Pain - diagnosis Abdominal Pain - etiology Anti-Inflammatory Agents - therapeutic use Australasia Autoimmune diseases Autoimmune Diseases - diagnosis Biopsy Case reports Cholangitis - diagnosis Cholangitis - physiopathology Chronic illnesses Diagnosis, Differential Endoscopy Epidemiology Family medical history Fatal Outcome Female Histology Humans Immunoglobulin G - blood Kidney diseases Male Medical diagnosis Medical imaging Middle Aged New Disease Pain Pancreatic cancer Pancreatitis Pancreatitis, Chronic - diagnosis Pancreatitis, Chronic - physiopathology Patients Prednisolone - therapeutic use Retroperitoneal Fibrosis - diagnosis Retroperitoneal Fibrosis - physiopathology Stroke Time Factors Tomography, X-Ray Computed Tumors White |
| Title | A disclosed diagnosis for 24 year’s unknown illness |
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