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Makimoto, Go Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Ohashi, Kadoaki Department of Allergy and Respiratory Medicine, Okayama University Hospital ORCID Kaken ID researchmap
Taniguchi, Kohei Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Soh, Junichi Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID researchmap
Taniguchi, Akihiko Department of Allergy and Respiratory Medicine, Okayama University Hospital Kaken ID
Miyahara, Nobuaki Department of Medical Technology, Okayama University Graduate School of Health Sciences Kaken ID publons researchmap
Toyooka, Shinichi Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Yoshino, Tadashi Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID publons researchmap
Maeda, Yoshinobu Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID researchmap
Kiura, Katsuyuki Department of Allergy and Respiratory Medicine, Okayama University Hospital ORCID Kaken ID publons researchmap
Abstract
Pleural effusion is a relatively rare feature of IgG4-related disease (IgG4-RD). Here, we report a case of a 72-year-old woman who presented with pleural effusion. Although the pleural adenosine deaminase level was increased, surgical biopsy of the pleura and left inguinal lymph node indicated that the effusion was due to IgG4-RD. Active surveillance was initiated because serum IgG4 and pleural effusion naturally decreased and then completely disappeared. The patient has shown no recurrence for >4 years. This case suggests that pleural biopsy can be used to distinguish IgG4-RD from tuberculosis; moreover, some cases with pleural effusion could improve without treatment.
Keywords
IgG4-related disease
Pleural effusion
Adenosine deaminase
Pleural biopsy
Spontaneous remission
Published Date
2019
Publication Title
Respiratory Medicine Case Reports
Volume
volume28
Publisher
Elsevier
Start Page
100938
ISSN
2213-0071
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© 2019 The Authors.
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isVersionOf https://doi.org/10.1016/j.rmcr.2019.100938
License
http://creativecommons.org/licenses/by-nc-nd/4.0/