Immunoglobulin G4-Related Disease with Several Inflammatory Foci
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概要
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We herein report the case of a 62-year-old Japanese man who presented with jaundice, dry eyes and abdominal discomfort. Imaging studies revealed swelling of the periorbital tissue, parotid and submandibular glands, pulmonary hilar lymph nodes, pancreas, bile ducts, gall bladder walls, bilateral kidneys, arterial walls and prostate. A significant increase in the serum level IgG4 was seen, and the patient was diagnosed with IgG4-related disease after undergoing a biopsy of the pancreas and prostate. We herein report a case of IgG4-related disease with multiple ten organ involvement at the onset of the disease that was successfully treated with prednisolone (PSL) therapy.
著者
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Wada Yoko
Division Of Clinical Nephrology And Rheumatology Niigata University Graduate School Of Medical And D
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Narita Ichiei
Division Of Clinical Nephrology And Intensive Care Medicine Niigata University Graduate School Of Me
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Nakatsue Takeshi
Division Of Clinical Nephrology And Rheumatology Division Of Cell Biology Niigata University Graduat
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Naito Makoto
Division Of Cellular And Molecular Pathology Department Of Cellular Function Niigata University Grad
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Kamimura Kenya
Division Of Gastroenterology And Hepatology Niigata University Graduate School Of Medical And Dental
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Aoyagi Yutaka
Division Of Gastroenterology And Hepatology Department Of Cellular Function Graduate School Of Medic
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Sato Yuichi
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Takeuchi Manabu
Division Of Gastroenterology And Hepatology Niigata University Medical And Dental Hospital
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Kobayashi Masaaki
Division Of Gastroenterology And Hepatology Niigata University Medical And Dental Hospital
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Yamamoto Takashi
Division Of Biochelistry Doshisha Univ.
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Aoyagi Yutaka
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Sakamaki Akira
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Shioji Kazuhiko
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Sakurada Junko
Division of Cellular and Molecular Pathology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Imai Michitaka
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Mizuno Ken-ichi
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Takeuchi Manabu
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Wada Yoko
Division of Clinical Nephrology and Rheumatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Kobayashi Masaaki
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Yamamoto Takashi
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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Kamimura Kenya
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan
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