Hepatic Sarcoidosis with an Increased Serum Level of Immunoglobulin G4
スポンサーリンク
概要
- 論文の詳細を見る
A 70-year-old woman with an increased uptake of 18-Fluorodeoxyglucose (FDG) in whole liver on positron emission tomography (PET) was referred to our hospital. Laboratory examinations showed increased serum levels of total immunoglobulin G (IgG) and IgG4. Gallium scintigraphy showed a remarkable uptake in the liver but not in any other organs. On computed tomography (CT) and magnetic resonance imaging (MRI), multiple foci of abnormal density were observed in the liver, but the pancreas and bile duct lacked any indications of IgG4-related sclerosing disease. A liver biopsy specimen revealed multiple non-necrotizing granulomas. This is the first report of hepatic sarocidosis in a patient with an elevated serum level of IgG4.
著者
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Imazeki Fumio
Department Of Medicine And Clinical Oncology Graduate School Of Medicine Chiba University
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Yokota Hajime
Department Of Cardiology Saitatama International Medical Center Saitama Medical Univeristy
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INOUE Masanori
Department of Ophthalmology
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Arai Makoto
Department Of Biological Science And Technology Science University Of Tokyo
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Kanda Tatsuo
Department Of Biochemistry Niigata University School Of Medicine
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Zen Yoh
Institute Of Liver Studies King's College Hospital
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Ogawa Makoto
Department Mechanical Engineering Ii Shibaura Institute Of Technology
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Kanai Fumihiko
Department Of Gastroenterology Graduate School Of Medicine The University Of Tokyo
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SUGIYAMA Harutoshi
Department of Gastroenterology and Clinical Oncology, Graduate School of Medicine, Chiba University
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YOKOSUKA Osamu
Department of Gastroenterology and Clinical Oncology, Graduate School of Medicine, Chiba University
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Kanda Tatsuo
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Chiba Tetsuhiro
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Ogasawara Sadahisa
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Chiba Tetsuhiro
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
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Ogasawara Sadahisa
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
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Arai Makoto
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Kanai Fumihiko
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Kanai Fumihiko
Department of Chemistry, Faculty of Science, The University of Tokyo
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Sugiyama Harutoshi
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Imazeki Fumio
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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Inoue Masanori
Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University, Japan
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