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 |
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container_issue | 15 |
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container_title | Internal Medicine |
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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 |
format | Article |
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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. 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).</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.54.4507</identifier><identifier>PMID: 26234232</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2015, Vol.54(15), pp.1897-1900</ispartof><rights>2015 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-f1393e0f0e5e2aafb9f6ed2e083d2a1cce23d43914f54d1e5f5254618a75cb573</citedby><cites>FETCH-LOGICAL-c584t-f1393e0f0e5e2aafb9f6ed2e083d2a1cce23d43914f54d1e5f5254618a75cb573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26234232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inenaga, Jun-ichi</creatorcontrib><creatorcontrib>Ueno, Toshiharu</creatorcontrib><creatorcontrib>Kawada, Masahiro</creatorcontrib><creatorcontrib>Imafuku, Aya</creatorcontrib><creatorcontrib>Mise, Koki</creatorcontrib><creatorcontrib>Sumida, Keiichi</creatorcontrib><creatorcontrib>Hiramatsu, Rikako</creatorcontrib><creatorcontrib>Hasegawa, Eiko</creatorcontrib><creatorcontrib>Hayami, Noriko</creatorcontrib><creatorcontrib>Suwabe, Tatsuya</creatorcontrib><creatorcontrib>Hoshino, Junichi</creatorcontrib><creatorcontrib>Sawa, Naoki</creatorcontrib><creatorcontrib>Takaichi, Kenmei</creatorcontrib><creatorcontrib>Fujii, Takeshi</creatorcontrib><creatorcontrib>Ohashi, Kenichi</creatorcontrib><creatorcontrib>Okaneya, Toshikazu</creatorcontrib><creatorcontrib>Ubara, Yoshifumi</creatorcontrib><title>IgG4-related Disease: A Mass Lesion in the Intrarenal Sinus near the Renal Pelvis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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).</description><subject>Female</subject><subject>Humans</subject><subject>IgG4-related disease</subject><subject>IgG4-related kidney disease</subject><subject>IgG4-related pyelitis</subject><subject>Immunoglobulin G - blood</subject><subject>Japan</subject><subject>Kidney Diseases - immunology</subject><subject>Kidney Diseases - pathology</subject><subject>Kidney Pelvis - pathology</subject><subject>mass lesion in the intrarenal sinus</subject><subject>Middle Aged</subject><subject>Sclerosis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEtPAjEUhRujEXz8BdOlm8E-5-GOoCIJBp_rpnTuQMlQsO2Y-O8dHrIwbs5N7v3uOclBCFPSYzQtbqyL4J2ul1BaYx30pOgJSbIj1KVcFEnGuDxGXVLQPGGtdNBZCAtCeJ4V7BR1WMq4YJx10ctoNhSJh1pHKPGdDaAD3OI-ftIh4DEEu3LYOhzngEcueu2hzcVv1jUBO9B-e3ndLp-h_rLhAp1Uug5wuZ_n6OPh_n3wmIwnw9GgP06MzEVMKsoLDqQiIIFpXU2LKoWSAcl5yTQ1BhgvBS-oqKQoKchKMilSmutMmqnM-Dm63vmu_eqzgRDV0gYDda0drJqgaEYo51mWsxbNd6jxqxA8VGrt7VL7b0WJ2hSq_haqpFCbQtvXq31KM22Ph8ffBltgsgMWIeoZHADtozU1_OtM5Ub3EQfSzLVX4PgPI66TKw</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Inenaga, Jun-ichi</creator><creator>Ueno, Toshiharu</creator><creator>Kawada, Masahiro</creator><creator>Imafuku, Aya</creator><creator>Mise, Koki</creator><creator>Sumida, Keiichi</creator><creator>Hiramatsu, Rikako</creator><creator>Hasegawa, Eiko</creator><creator>Hayami, Noriko</creator><creator>Suwabe, Tatsuya</creator><creator>Hoshino, Junichi</creator><creator>Sawa, Naoki</creator><creator>Takaichi, Kenmei</creator><creator>Fujii, Takeshi</creator><creator>Ohashi, Kenichi</creator><creator>Okaneya, Toshikazu</creator><creator>Ubara, Yoshifumi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>IgG4-related Disease: A Mass Lesion in the Intrarenal Sinus near the Renal Pelvis</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-f1393e0f0e5e2aafb9f6ed2e083d2a1cce23d43914f54d1e5f5254618a75cb573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Female</topic><topic>Humans</topic><topic>IgG4-related disease</topic><topic>IgG4-related kidney disease</topic><topic>IgG4-related pyelitis</topic><topic>Immunoglobulin G - blood</topic><topic>Japan</topic><topic>Kidney Diseases - immunology</topic><topic>Kidney Diseases - pathology</topic><topic>Kidney Pelvis - pathology</topic><topic>mass lesion in the intrarenal sinus</topic><topic>Middle Aged</topic><topic>Sclerosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inenaga, Jun-ichi</creatorcontrib><creatorcontrib>Ueno, Toshiharu</creatorcontrib><creatorcontrib>Kawada, Masahiro</creatorcontrib><creatorcontrib>Imafuku, Aya</creatorcontrib><creatorcontrib>Mise, Koki</creatorcontrib><creatorcontrib>Sumida, Keiichi</creatorcontrib><creatorcontrib>Hiramatsu, Rikako</creatorcontrib><creatorcontrib>Hasegawa, Eiko</creatorcontrib><creatorcontrib>Hayami, Noriko</creatorcontrib><creatorcontrib>Suwabe, Tatsuya</creatorcontrib><creatorcontrib>Hoshino, Junichi</creatorcontrib><creatorcontrib>Sawa, Naoki</creatorcontrib><creatorcontrib>Takaichi, Kenmei</creatorcontrib><creatorcontrib>Fujii, Takeshi</creatorcontrib><creatorcontrib>Ohashi, Kenichi</creatorcontrib><creatorcontrib>Okaneya, Toshikazu</creatorcontrib><creatorcontrib>Ubara, Yoshifumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inenaga, Jun-ichi</au><au>Ueno, Toshiharu</au><au>Kawada, Masahiro</au><au>Imafuku, Aya</au><au>Mise, Koki</au><au>Sumida, Keiichi</au><au>Hiramatsu, Rikako</au><au>Hasegawa, Eiko</au><au>Hayami, Noriko</au><au>Suwabe, Tatsuya</au><au>Hoshino, Junichi</au><au>Sawa, Naoki</au><au>Takaichi, Kenmei</au><au>Fujii, Takeshi</au><au>Ohashi, Kenichi</au><au>Okaneya, Toshikazu</au><au>Ubara, Yoshifumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>IgG4-related Disease: A Mass Lesion in the Intrarenal Sinus near the Renal Pelvis</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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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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