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- Title
IgG4-Related Pericarditis Diagnosed by Accumulated Pericardial Effusion.
- Authors
Sugawara, Hirohito; Takahashi, Tomokazu; Kimura, Yukishige; Matsui, Azumi; Matsumoto, Tamaki; Nishisato, Kimio; Nishimura, Mitsuhiro
- Abstract
IgG4-related pericarditis has rarely been reported. Here, we report a case of IgG4-related disease that presented with pericardial effusion. A 67-year-old female who presented with palpitations and chest pain was admitted because of a large amount of pericardial effusion that required drainage. The patient underwent pericardial drainage, and the symptoms were gradually alleviated. IgG4 levels were elevated in the serum and pericardial effusions. A biopsy specimen of 18F-FDG accumulated in the submandibular gland showed lymphocyte infiltration with IgG4-positive cells. The patient was diagnosed with IgG4-related pericarditis. Glucocorticoids resolved serological and imaging abnormalities. Prompt treatment improves the disease status.
- Subjects
PERICARDITIS; PERICARDIAL effusion; SUBMANDIBULAR gland; THERAPEUTICS; DIAGNOSIS; CHEST pain; PALPITATION
- Publication
Case Reports in Cardiology, 2023, p1
- ISSN
2090-6404
- Publication type
Case Study
- DOI
10.1155/2023/9223342