IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction
| Autor: | Mitsuru Kagoshima, Nanasawa Shigeki, Kei Nishiwaki, Ryosuke Hara, Hidetoshi Satomi, Tamaki Takano, Shun Nomura, Wataru Ishii, Tatsuya Usui |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Constrictive pericarditis
medicine.medical_specialty medicine.medical_treatment Catheter ablation Aortic aneurysm Internal medicine parasitic diseases Internal Medicine medicine Humans cardiovascular diseases Sinus (anatomy) Aortitis integumentary system Cerebral infarction business.industry fungi General Medicine Cerebral Infarction medicine.disease Coronary arteries medicine.anatomical_structure Immunoglobulin G cardiovascular system Cardiology IgG4-related disease Immunoglobulin G4-Related Disease business Pericardium |
| Zdroj: | Internal medicine (Tokyo, Japan). 61(8) |
| ISSN: | 1349-7235 |
| Popis: | 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: | OpenAIRE |
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