IgG4-related Ocular Adnexal Disease Mimicking Thyroid-associated Orbitopathy
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概要
- 論文の詳細を見る
A 72-year-old man presented with bilateral eyelid swelling and redness. An orbital CT scan showed bilateral proptosis, extraocular muscle enlargement and swollen lacrimal glands, mimicking thyroid-associated orbitopathy (TAO) with Hashimoto's thyroiditis (HT). During the patient's clinical course, spontaneous remission of lung consolidation (35×26 mm) was seen. A diagnosis of IgG4-related disease (IgG4-RD) was made based on an elevated serum IgG4 level (1,020 mg/dL; normal, 4-108), predominance of IgG4-positive plasma cells (IgG4/IgG: 35/70 in HPF) in the lacrimal glands and typical features of Mikulicz's disease. This report provides a novel description of this unusual disease entity among HT, TAO and IgG4-RD.
- 社団法人 日本内科学会の論文
著者
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Furuta Hiroto
The First Department Of Medicine Wakayama Medical University
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NAKAO Taisei
The First Department of Medicine, Wakayama University of Medical Science
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Okada Yuka
Department Of Ophthalmology Wakayama Medical College
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Sasaki Hideyuki
The First Department Of Medicine Wakayama University Of Medical Science
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Nishi Masahiro
The Faculty Of Engineering Osaka University
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Nakamura Yasushi
Department Of Agricultural Chemistry Faculty Of Agriculture Niigata University
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Hayakawa Takahiro
The First Department of Medicine, Wakayama Medical University, Japan
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Akamizu Takashi
The First Department of Medicine, Wakayama Medical University, Japan
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Inaba Hidefumi
The First Department of Medicine, Wakayama Medical University, Japan
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Miyamoto Waka
The First Department of Medicine, Wakayama Medical University, Japan
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Takeshima Ken
The First Department of Medicine, Wakayama Medical University, Japan
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Yamaoka Hiroyuki
The First Department of Medicine, Wakayama Medical University, Japan
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Furukawa Yasushi
The First Department of Medicine, Wakayama Medical University, Japan
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Kawashima Hiromichi
The First Department of Medicine, Wakayama Medical University, Japan
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Ariyasu Hiroyuki
The First Department of Medicine, Wakayama Medical University, Japan
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Wakasaki Hisao
The First Department of Medicine, Wakayama Medical University, Japan
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Matsunaga Kazuto
Department of Respiratory Medicine, Wakayama Medical University, Japan
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Wakasaki Hisao
The First Department of Medicine, Wakayama Medical University
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Nakao Taisei
The First Department of Medicine, Wakayama Medical University, Japan
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Nishi Masahiro
The First Department of Medicine, Wakayama Medical University, Japan
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Okada Yuka
Department of Ophthalmology, Wakayama Medical University, Japan
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Nakamura Yasushi
Department of Clinical Laboratory Medicine, Wakayama Medical University, Japan
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