IgG4-Related Airway Involvement Which Developed in a Patient Receiving Corticosteroid Therapy for Autoimmune Pancreatitis
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概要
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A 66-year-old man was diagnosed with autoimmune pancreatitis in February 2009 and started 40 mg of oral prednisolone followed by a maintenance dose of 5 mg daily. The patient developed a cough in October 2010 and visited our division. He had a high serum concentration of immunoglobulin (Ig) G4 and his chest computed tomography showed airway stenosis without bilateral hilar lymphadenopathy (BHL). The bronchial biopsy specimens revealed lymphoplasmacytic infiltrations with IgG4-positive/IgG-positive plasma cells of more than 50%. Thus, we diagnosed the airway lesion with IgG4-related airway involvement. This is the first report of a patient with IgG4-related airway involvement without BHL.
著者
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Yasuo Masanori
The First Department of Internal Medicine, Shinshu University School of Medicine
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Hanaoka Masayuki
The First Department of Internal Medicine, Shinshu University School of Medicine
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Yokoyama Toshiki
The First Department of Internal Medicine, Shinshu University School of Medicine
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KOIZUMI Tomonobu
the First Department of Internal Medicine, Shinshu University School of Medicine
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Kawa Shigeyuki
Center For Health Safety And Environmental Management Shinshu University
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Hamano Hideaki
Department Of Gastroenterology Shinshu University School Of Medicine
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Kubo Keishi
The First Department Of Internal Medicine Shinshu University
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Ushiki Atsuhito
The First Department of Internal Medicine, Shinshu University School of Medicine
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Yoshizawa Akihiko
Department Of Diagnostic Pathology Kyoto University
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Urushihata Kazuhisa
The First Department Of Medicine Shinshu University
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Yamamoto Hiroshi
The First Department Of Internal Medicine Kobe University School Of Medicine
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Kawakami Satoshi
Department Of Chemical Science And Technology Faculty Of Engineering The University Of Tokushima
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Nomura Yayoi
The First Department of Internal Medicine, Shinshu University School of Medicine, Japan
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Agatsuma Toshihiko
The First Department of Internal Medicine, Shinshu University School of Medicine, Japan
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Iwaya Mai
Department of Laboratory Medicine, Shinshu University School of Medicine, Japan
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Agatsuma Toshihiko
The First Department of Internal Medicine, Shinshu University School of Medicine
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Urushihata Kazuhisa
The First Department of Internal Medicine, Shinshu University School of Medicine
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