表现为左侧腰痛的IgG4相关性主动脉周炎
IgG4-related periaortitis presenting as left flank pain.
作者信息
Sharrack Sana, Paddock Michael
机构信息
Department of Rheumatology, Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom.
Department of Rheumatology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
出版信息
Radiol Case Rep. 2023 Nov 22;19(2):572-575. doi: 10.1016/j.radcr.2023.11.003. eCollection 2024 Feb.
We present the case of periaortitis which presented initially with left flank pain. A diagnosis of IgG4-related disease (IgG4-RD) was subsequently made and managed as such. IgG4-RD is rare, can be difficult to diagnose, and requires clinical, serological, radiological and pathological correlation, particularly given that serum IgG4 levels may be normal. Immunosuppression is the mainstay treatment for this chronic condition alongside regular rheumatology input.
我们报告一例最初表现为左侧腰痛的主动脉周炎病例。随后诊断为IgG4相关疾病（IgG4-RD）并进行相应治疗。IgG4-RD较为罕见，诊断可能困难，需要临床、血清学、影像学和病理学相互关联，特别是考虑到血清IgG4水平可能正常。免疫抑制是这种慢性病的主要治疗方法，同时需要定期接受风湿病学专家的指导。
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