Kim Sunchan, Kim Tae Gu, Choi Seung-Kwon, Kim Myung Joon, Min Gyeong Eun, Lee Hyung-Lae, Yoo Koo Han
Department of Urology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Korean J Urol. 2013 Mar;54(3):209-11. doi: 10.4111/kju.2013.54.3.209. Epub 2013 Mar 15.
Immunoglobulin (Ig) G4-related sclerosing disease is a newly defined clinicopathological entity characterized by lymphoplasmacytic infiltration of IgG4-positive plasma cells and varying degrees of fibrosis within affected tissues. Patients usually exhibit multisystem involvement and often respond well to steroid and immunosuppressive therapy. This report presents a case of IgG4-related sclerosing disease involving the ureter and kidney. We hope to bring IgG4-related sclerosing disease to the attention of urologists, because it is an uncommon disease that commonly responds to systemic corticosteroids.
免疫球蛋白(Ig)G4相关硬化性疾病是一种新定义的临床病理实体,其特征是IgG4阳性浆细胞的淋巴细胞浆细胞浸润以及受累组织内不同程度的纤维化。患者通常表现为多系统受累,并且对类固醇和免疫抑制治疗往往反应良好。本报告介绍了一例累及输尿管和肾脏的IgG4相关硬化性疾病病例。我们希望引起泌尿外科医生对IgG4相关硬化性疾病的关注,因为它是一种罕见疾病,通常对全身皮质类固醇有反应。