IgG4-Related Tubulointerstitial Nephritis and Lymphadenopathy after Therapy for Malignant Lymphoma
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概要
- 論文の詳細を見る
We report a middle-aged Japanese man who had a past history of malignant lymphoma with tubulointerstitial nephritis (TIN) presenting a high serum immunoglobulin G4 (IgG4) concentration and bilateral kidney enlargement and swelling of many lymph nodes. Although lymph node biopsy was not evident of a recurrence of lymphoma, kidney biopsy showed prominent infiltration of IgG4-positive plasma cells in a tubulointerstitial lesion but not in glomeruli. We made a diagnosis of IgG4-related TIN and lymphadenopathy; administration of oral prednisolone improved his physical and laboratory parameters. This is the first report of a case of IgG4-related TIN and lymphadenopathy after therapy for malignant lymphoma.
著者
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Kakuta Yukio
Department Of Pathology Yokohama Rosai Hospital
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Nitta Kosaku
Department Iv Of Internal Medicine Tokyo Women's Medical University
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Hasegawa Naoki
Department of Applied Physics, Nagoya University, Nagoya 464-8603, Japan
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Kakuta Yukio
Department of Pathology, Yokohama Rosai Hospital, Japan
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Oshima Yasuko
Department of Medicine, Division of Nephrology, Yokohama Rosai Hospital, Japan
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Usui Ryosuke
Department of Medicine, Division of Nephrology, Yokohama Rosai Hospital, Japan
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Manabe Shun
Department of Medicine, Division of Nephrology, Yokohama Rosai Hospital, Japan
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Hatano Michiyasu
Department of Medicine, Division of Nephrology, Yokohama Rosai Hospital, Japan
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Hasegawa Naoki
Department of Pathology, Yokohama Rosai Hospital, Japan
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