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IgG4相关疾病所致严重主动脉瓣关闭不全:一种罕见病症。

Severe Aortic Valvular Incompetence From IgG4-Related Disease: An Unusual Entity.

作者信息

Soh Bing Wei Thaddeus, Prendergast Sophie Catherine, Burke Louise, O'Connor Cormac T, Ullah Ihsan, O'Brien Julie M, Hinchion John A, Arnous Samer, Kiernan Thomas J

机构信息

Department of Cardiology, University Hospital Limerick, Limerick, Ireland.

Department of Histopathology, Cork University Hospital, Cork, Ireland.

出版信息

JACC Case Rep. 2023 Sep 15;24:102027. doi: 10.1016/j.jaccas.2023.102027. eCollection 2023 Oct 18.

DOI:10.1016/j.jaccas.2023.102027
PMID:37869216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10589445/
Abstract

IgG4-related disease (IgG4-RD) is a new clinical entity characterized by lymphoplasmacytic lesions rich in IgG4-positive plasma cells. Myocardial involvement is extremely rare and not a typical cardiovascular manifestation of IgG4-RD. We report a rare case of IgG4-RD-associated myocardial mass causing severe aortic incompetence, successfully treated with surgery and corticosteroids. ().

摘要

IgG4相关性疾病(IgG4-RD)是一种新的临床实体,其特征为富含IgG4阳性浆细胞的淋巴浆细胞性病变。心肌受累极为罕见,并非IgG4-RD的典型心血管表现。我们报告一例罕见的IgG4-RD相关心肌肿物导致严重主动脉瓣关闭不全的病例,通过手术和皮质类固醇成功治愈。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/d4fc88635503/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/ba385ee44551/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/cfac556f6026/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/bcf3b5a03094/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/a31db0dd5585/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/d4fc88635503/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/ba385ee44551/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/cfac556f6026/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/bcf3b5a03094/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/a31db0dd5585/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/056c/10589445/d4fc88635503/gr4.jpg

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本文引用的文献

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The enigmatic immunoglobulin G4-related disease and its varied cardiovascular manifestations.神秘的免疫球蛋白 G4 相关疾病及其多种心血管表现。
Heart. 2021 May;107(10):790-798. doi: 10.1136/heartjnl-2020-318041. Epub 2021 Jan 19.
2
The 2020 revised comprehensive diagnostic (RCD) criteria for IgG4-RD.2020年修订的IgG4相关性疾病综合诊断(RCD)标准。
Mod Rheumatol. 2021 May;31(3):529-533. doi: 10.1080/14397595.2020.1859710. Epub 2021 Jan 28.
3
Successful Transcatheter Diagnosis and Medical Treatment of Right Atrial Involvement in IgG4-related Disease.
IgG4相关疾病右心房受累的成功经导管诊断与药物治疗
Int Heart J. 2018 Sep 26;59(5):1155-1160. doi: 10.1536/ihj.17-467. Epub 2018 Jul 15.
4
Right Ventricular Outflow Tract Obstruction Due to Immunoglobulin G4-Related Disease.免疫球蛋白G4相关疾病所致右心室流出道梗阻
Ann Thorac Surg. 2017 Mar;103(3):e235-e237. doi: 10.1016/j.athoracsur.2016.08.104.
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International consensus for the treatment of autoimmune pancreatitis.自身免疫性胰腺炎治疗的国际共识
Pancreatology. 2017 Jan-Feb;17(1):1-6. doi: 10.1016/j.pan.2016.12.003. Epub 2016 Dec 12.
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IgG4 related cardiac disease.IgG4相关性心脏疾病。
Methodist Debakey Cardiovasc J. 2013 Oct-Dec;9(4):230-2. doi: 10.14797/mdcj-9-4-230.
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IgG4-related disease.IgG4相关性疾病
N Engl J Med. 2012 Feb 9;366(6):539-51. doi: 10.1056/NEJMra1104650.
8
A new clinicopathological entity of IgG4-related autoimmune disease.IgG4相关自身免疫性疾病的一种新的临床病理实体。
J Gastroenterol. 2003;38(10):982-4. doi: 10.1007/s00535-003-1175-y.