IgG4-related Disease: A Mass Lesion in the Intrarenal Sinus near the Renal Pelvis

A 52-year-old Japanese woman was admitted to our hospital with the renal pelvic mass lesion detected on a health screening examination. The surgical specimen contained a mass exhibiting the histological features of immunoglobulin (Ig)G4-related disease, including lymphoplasmacytic infiltration and s...

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Veröffentlicht in:Internal Medicine 2015, Vol.54(15), pp.1897-1900
Hauptverfasser: Inenaga, Jun-ichi, Ueno, Toshiharu, Kawada, Masahiro, Imafuku, Aya, Mise, Koki, Sumida, Keiichi, Hiramatsu, Rikako, Hasegawa, Eiko, Hayami, Noriko, Suwabe, Tatsuya, Hoshino, Junichi, Sawa, Naoki, Takaichi, Kenmei, Fujii, Takeshi, Ohashi, Kenichi, Okaneya, Toshikazu, Ubara, Yoshifumi
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container_end_page 1900
container_issue 15
container_start_page 1897
container_title Internal Medicine
container_volume 54
creator Inenaga, Jun-ichi
Ueno, Toshiharu
Kawada, Masahiro
Imafuku, Aya
Mise, Koki
Sumida, Keiichi
Hiramatsu, Rikako
Hasegawa, Eiko
Hayami, Noriko
Suwabe, Tatsuya
Hoshino, Junichi
Sawa, Naoki
Takaichi, Kenmei
Fujii, Takeshi
Ohashi, Kenichi
Okaneya, Toshikazu
Ubara, Yoshifumi
description A 52-year-old Japanese woman was admitted to our hospital with the renal pelvic mass lesion detected on a health screening examination. The surgical specimen contained a mass exhibiting the histological features of immunoglobulin (Ig)G4-related disease, including lymphoplasmacytic infiltration and sclerosis with numerous IgG4-producing plasma cells. Postoperatively, an elevation of the serum IgG4 level was confirmed at 403 mg/dL; however, there was no evidence of tubulointerstitial nephritis or glomerulopathy, including membranous nephropathy, and the urothelium of the renal pelvis was intact without inflammation. We herein report this case in which IgG4-related disease of the renal pelvic region presented with a mass lesion in the intrarenal sinus near the renal pelvis, not 'pyelitis' (as described by Stone).
doi_str_mv 10.2169/internalmedicine.54.4507
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The surgical specimen contained a mass exhibiting the histological features of immunoglobulin (Ig)G4-related disease, including lymphoplasmacytic infiltration and sclerosis with numerous IgG4-producing plasma cells. Postoperatively, an elevation of the serum IgG4 level was confirmed at 403 mg/dL; however, there was no evidence of tubulointerstitial nephritis or glomerulopathy, including membranous nephropathy, and the urothelium of the renal pelvis was intact without inflammation. 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subjects Female
Humans
IgG4-related disease
IgG4-related kidney disease
IgG4-related pyelitis
Immunoglobulin G - blood
Japan
Kidney Diseases - immunology
Kidney Diseases - pathology
Kidney Pelvis - pathology
mass lesion in the intrarenal sinus
Middle Aged
Sclerosis
title IgG4-related Disease: A Mass Lesion in the Intrarenal Sinus near the Renal Pelvis
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