IgG4-related systemic disease presenting with lung entrapment and constrictive pericarditis

Hiroshi Sekiguchi; Ryohei Horie; James P. Utz; Jay H. Ryu

doi:10.1378/chest.11-2608

IgG4-related systemic disease presenting with lung entrapment and constrictive pericarditis

Hiroshi Sekiguchi, Ryohei Horie, James P. Utz, Jay H. Ryu

Pulmonary and Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

39 Scopus citations

Abstract

We describe a 29-year-old woman who presented with chronic pleuropericarditis complicated by lung entrapment and constrictive pericarditis. Pleural biopsy performed during the decortication procedure revealed fibrinous pleuritis with lymphoplasmacytic inflammation including IgG4-positive plasma cells. The patient responded favorably to corticosteroid therapy with resolution of pleural effusion and constrictive physiology. To our knowledge, this is the first reported case of IgG4-related systemic disease manifesting as lung entrapment and constrictive pericarditis.

Original language	English (US)
Pages (from-to)	781-783
Number of pages	3
Journal	Chest
Volume	142
Issue number	3
DOIs	https://doi.org/10.1378/chest.11-2608
State	Published - Sep 2012

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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abstract = "We describe a 29-year-old woman who presented with chronic pleuropericarditis complicated by lung entrapment and constrictive pericarditis. Pleural biopsy performed during the decortication procedure revealed fibrinous pleuritis with lymphoplasmacytic inflammation including IgG4-positive plasma cells. The patient responded favorably to corticosteroid therapy with resolution of pleural effusion and constrictive physiology. To our knowledge, this is the first reported case of IgG4-related systemic disease manifesting as lung entrapment and constrictive pericarditis.",

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AU - Utz, James P.

AU - Ryu, Jay H.

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Y1 - 2012/9

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AB - We describe a 29-year-old woman who presented with chronic pleuropericarditis complicated by lung entrapment and constrictive pericarditis. Pleural biopsy performed during the decortication procedure revealed fibrinous pleuritis with lymphoplasmacytic inflammation including IgG4-positive plasma cells. The patient responded favorably to corticosteroid therapy with resolution of pleural effusion and constrictive physiology. To our knowledge, this is the first reported case of IgG4-related systemic disease manifesting as lung entrapment and constrictive pericarditis.

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IgG4-related systemic disease presenting with lung entrapment and constrictive pericarditis

Abstract

ASJC Scopus subject areas

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