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A Case of Constrictive Pericarditis due to Immunoglobulin G4-Related Disease.

Seo J, Song IJ, Lee S, Jeong HJ, Kim HM, Koh BS, Park SH - Korean Circ J (2015)

Bottom Line: The majority of reported cases involve IgG4-RD of the biliary tract or pancreas, while only two cases of pericarditis have been reported.A 58-year-old man visited the outpatient clinic of our institution with a seven-day history of progressive dyspnea.As the patient's symptoms resolved, he was discharged and followed-up on an outpatient basis.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
Immunoglobulin G4-related disease (IgG4-RD) can involve any organ. The majority of reported cases involve IgG4-RD of the biliary tract or pancreas, while only two cases of pericarditis have been reported. A 58-year-old man visited the outpatient clinic of our institution with a seven-day history of progressive dyspnea. Based on his transthoracic echocardiogram and transesophageal echocardiogram, he was diagnosed with constrictive pericarditis. The histopathology of his pericardiectomy revealed the cause of constrictive pericarditis to be IgG4-RD. Prednisolone (40 mg) was initiated after the pericardiectomy. As the patient's symptoms resolved, he was discharged and followed-up on an outpatient basis. This is the first case report of constrictive pericarditis caused by IgG4-RD in Korea.

No MeSH data available.


Related in: MedlinePlus

Positron emission tomography-computed tomography images, coronal (A) and axial (B) section. Pericardial effusion with mild fluorodeoxyglucose-uptake, likely due to inflammatory processes, was observed but there was no evidence of pulmonary tuberculosis
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Figure 3: Positron emission tomography-computed tomography images, coronal (A) and axial (B) section. Pericardial effusion with mild fluorodeoxyglucose-uptake, likely due to inflammatory processes, was observed but there was no evidence of pulmonary tuberculosis

Mentions: We detected bilateral pleural effusion with loculation along the right minor fissure with moderate cardiomegaly on the patient's chest radiograph (Fig. 1A). On the TTE from the first day of hospitalization, we observed constrictive physiology with a small amount of organized pericardial effusion (Fig. 2A). Pericardial effusion with mild fluorodeoxyglucose uptake was observed on positron emission tomography-computed tomography, likely due to inflammatory processes (Fig. 3). Bilateral pleural effusion was also observed.


A Case of Constrictive Pericarditis due to Immunoglobulin G4-Related Disease.

Seo J, Song IJ, Lee S, Jeong HJ, Kim HM, Koh BS, Park SH - Korean Circ J (2015)

Positron emission tomography-computed tomography images, coronal (A) and axial (B) section. Pericardial effusion with mild fluorodeoxyglucose-uptake, likely due to inflammatory processes, was observed but there was no evidence of pulmonary tuberculosis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4372983&req=5

Figure 3: Positron emission tomography-computed tomography images, coronal (A) and axial (B) section. Pericardial effusion with mild fluorodeoxyglucose-uptake, likely due to inflammatory processes, was observed but there was no evidence of pulmonary tuberculosis
Mentions: We detected bilateral pleural effusion with loculation along the right minor fissure with moderate cardiomegaly on the patient's chest radiograph (Fig. 1A). On the TTE from the first day of hospitalization, we observed constrictive physiology with a small amount of organized pericardial effusion (Fig. 2A). Pericardial effusion with mild fluorodeoxyglucose uptake was observed on positron emission tomography-computed tomography, likely due to inflammatory processes (Fig. 3). Bilateral pleural effusion was also observed.

Bottom Line: The majority of reported cases involve IgG4-RD of the biliary tract or pancreas, while only two cases of pericarditis have been reported.A 58-year-old man visited the outpatient clinic of our institution with a seven-day history of progressive dyspnea.As the patient's symptoms resolved, he was discharged and followed-up on an outpatient basis.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT
Immunoglobulin G4-related disease (IgG4-RD) can involve any organ. The majority of reported cases involve IgG4-RD of the biliary tract or pancreas, while only two cases of pericarditis have been reported. A 58-year-old man visited the outpatient clinic of our institution with a seven-day history of progressive dyspnea. Based on his transthoracic echocardiogram and transesophageal echocardiogram, he was diagnosed with constrictive pericarditis. The histopathology of his pericardiectomy revealed the cause of constrictive pericarditis to be IgG4-RD. Prednisolone (40 mg) was initiated after the pericardiectomy. As the patient's symptoms resolved, he was discharged and followed-up on an outpatient basis. This is the first case report of constrictive pericarditis caused by IgG4-RD in Korea.

No MeSH data available.


Related in: MedlinePlus