Transudative pleural effusion in pleuritis associated with immunoglobulin G4‐related disease diagnosed by thoracoscopy under local anaesthesia

Autor:	Yuto Kato, Kentaro Fukunaga, Aya Ooka, Shunichi Tokuoka, Yoko Kataoka, Takuya Fujita, Hiroyuki Sugihara, Masafumi Yamaguchi
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	IgG4‐related disease pleuritis thoracoscopy transudative pleural effusion Diseases of the respiratory system RC705-779
Zdroj:	Respirology Case Reports, Vol 12, Iss 6, Pp n/a-n/a (2024)
Druh dokumentu:	article
ISSN:	2051-3380
DOI:	10.1002/rcr2.1404
Popis:	Abstract Immunoglobulin G4 (IgG4)‐related disease is a chronic inflammatory condition often characterized by exudative pleural effusions. However, transudative pleural effusions, like in the presented case of an 80‐year‐old man with multiple comorbidities, are less common but possible. Despite initial treatment with diuretics, the effusion persisted, prompting further investigation. Medical thoracoscopy revealed lymphatic follicle hyperplasia and an abundance of IgG4‐positive plasmacytoid cells, confirming IgG4‐related pleuritis. This case underscores the importance of considering inflammatory etiologies, such as IgG4‐related disease, when faced with unresponsive transudative pleural effusions. Thoracoscopy serves as a valuable diagnostic tool in such scenarios, allowing for precise diagnosis and appropriate management.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/fd6e6d2c78104d07b337057fb468e675 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
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