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Article in Japanese
Abstract
Case Report
A case of IgG4-related lung disease presenting with wandering shadows
Mari Yamasuea Hisako Kushimaa Hiroshi Ishiib Atsushi Yokoyamaa Shin-ichi Nurekia Jun-ichi Kadotaa
aDepartment of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine
bDepartment of Respiratory Medicine, Fukuoka University Hospital
ABSTRACT
A 69-year-old man was admitted to our hospital because of hypoxemia with chest-wandering infiltrates, which was unresponsive to treatment with antibiotics. Pathological findings obtained by video-assisted thoracoscopic lung biopsy revealed a nonspecific interstitial pneumonia pattern, including an abundant immunoglobulin (IgG) 4-positive plasma cell infiltration. Furthermore, his serum IgG and IgG4 levels markedly elevated. Therefore the patient was diagnosed to have IgG4-related lung disease, and he had been successfully treated with corticosteroids. We herein report a rare case of IgG4-related lung disease presenting with wandering shadows.
KEYWORDS
IgG4-related lung disease Nonspecific interstitial pneumonia Organizing pneumonia
Received 27 Jan 2014 ／ Accepted 9 May 2014
AJRS, 3(5): 719-722, 2014
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