IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction.

Autor:	Nomura S; Division of Rheumatology, Department of Internal Medicine, Nagano Red Cross Hospital, Japan., Ishii W; Division of Rheumatology, Department of Internal Medicine, Nagano Red Cross Hospital, Japan., Hara R; Division of Rheumatology, Department of Internal Medicine, Nagano Red Cross Hospital, Japan., Nanasawa S; Division of Neurology, Joetsu General Hospital, Japan., Nishiwaki K; Division of Cardiology, Joetsu General Hospital, Japan., Kagoshima M; Division of Cardiology, Joetsu General Hospital, Japan., Takano T; Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Japan., Satomi H; Department of Pathology, Nagano Red Cross Hospital, Japan., Usui T; Department of Cardiology, Nagano Red Cross Hospital, Japan.
Jazyk:	angličtina
Zdroj:	Internal medicine (Tokyo, Japan) [Intern Med] 2022 Apr 15; Vol. 61 (8), pp. 1259-1264. Date of Electronic Publication: 2021 Oct 05.
DOI:	10.2169/internalmedicine.8049-21
Abstrakt:	Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by infiltration of extensive IgG4-positive plasma cells and lymphocytes. Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as aortic (aortic aneurysm and aortitis) and pericardial (constrictive pericarditis) lesions as well as pseudotumors around the coronary arteries. We herein report a case of IgG4-RD with a cardiac mass in the right atrium involving a sinus node. This condition caused arrhythmia and repeated strokes. We successfully treated the patient through resection of the cardiac mass, catheter ablation and immunosuppressive therapy.
Databáze:	MEDLINE
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