IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction
Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by infiltration of extensive IgG4-positive plasma cells and lymphocytes. Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as...
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| Veröffentlicht in: | Internal Medicine 2022/04/15, Vol.61(8), pp.1259-1264 |
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| container_title | Internal Medicine |
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| creator | Nomura, Shun Ishii, Wataru Hara, Ryosuke Nanasawa, Shigeki Nishiwaki, Kei Kagoshima, Mitsuru Takano, Tamaki Satomi, Hidetoshi Usui, Tatsuya |
| description | Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by infiltration of extensive IgG4-positive plasma cells and lymphocytes. Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as aortic (aortic aneurysm and aortitis) and pericardial (constrictive pericarditis) lesions as well as pseudotumors around the coronary arteries. We herein report a case of IgG4-RD with a cardiac mass in the right atrium involving a sinus node. This condition caused arrhythmia and repeated strokes. We successfully treated the patient through resection of the cardiac mass, catheter ablation and immunosuppressive therapy. |
| doi_str_mv | 10.2169/internalmedicine.8049-21 |
| format | Article |
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Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as aortic (aortic aneurysm and aortitis) and pericardial (constrictive pericarditis) lesions as well as pseudotumors around the coronary arteries. We herein report a case of IgG4-RD with a cardiac mass in the right atrium involving a sinus node. This condition caused arrhythmia and repeated strokes. We successfully treated the patient through resection of the cardiac mass, catheter ablation and immunosuppressive therapy.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.8049-21</identifier><identifier>PMID: 34615822</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aortic aneurysms ; Arrhythmia ; cardiac mass ; Case Report ; Case reports ; Catheters ; Cerebral infarction ; Coronary artery ; Coronary artery disease ; Heart diseases ; IgG4-related disease ; Immunoglobulin G ; Immunoglobulin G4 ; Immunosuppressive agents ; Inflammatory diseases ; Internal medicine ; Lymphocytes ; Myocardium ; Pericarditis ; Plasma cells ; Pseudotumors</subject><ispartof>Internal Medicine, 2022/04/15, Vol.61(8), pp.1259-1264</ispartof><rights>2022 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2022</rights><rights>Copyright © 2022 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c554t-9119ec4375cd90f0a77051db29f3dbf8e554638a41cb9286054685c3f4cd73623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107975/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107975/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,1877,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34615822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nomura, Shun</creatorcontrib><creatorcontrib>Ishii, Wataru</creatorcontrib><creatorcontrib>Hara, Ryosuke</creatorcontrib><creatorcontrib>Nanasawa, Shigeki</creatorcontrib><creatorcontrib>Nishiwaki, Kei</creatorcontrib><creatorcontrib>Kagoshima, Mitsuru</creatorcontrib><creatorcontrib>Takano, Tamaki</creatorcontrib><creatorcontrib>Satomi, Hidetoshi</creatorcontrib><creatorcontrib>Usui, Tatsuya</creatorcontrib><title>IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by infiltration of extensive IgG4-positive plasma cells and lymphocytes. Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as aortic (aortic aneurysm and aortitis) and pericardial (constrictive pericarditis) lesions as well as pseudotumors around the coronary arteries. We herein report a case of IgG4-RD with a cardiac mass in the right atrium involving a sinus node. This condition caused arrhythmia and repeated strokes. We successfully treated the patient through resection of the cardiac mass, catheter ablation and immunosuppressive therapy.</description><subject>Aortic aneurysms</subject><subject>Arrhythmia</subject><subject>cardiac mass</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Cerebral infarction</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Heart diseases</subject><subject>IgG4-related disease</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G4</subject><subject>Immunosuppressive agents</subject><subject>Inflammatory diseases</subject><subject>Internal medicine</subject><subject>Lymphocytes</subject><subject>Myocardium</subject><subject>Pericarditis</subject><subject>Plasma cells</subject><subject>Pseudotumors</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNplkU1v1DAQhi0EokvhL6BIXLik-COO7QsS2tKyUoELnK2JM9n1KusU2yni3-N0ywrKxfZonnk9My8hFaMXnLXmnQ8ZY4DxgL13PuCFpo2pOXtCVkyUl-JCPiUrapiueTnOyIuU9pQKrQx_Ts5E0zKpOV-Ry832uqkjjpCxry59QkhY_fR5V0G1hth7cNVnSKkEc_JhW60xYhdhrDZhgOiyn8JL8myAMeGrh_ucfL_6-G39qb75er1Zf7ipnZRNrg1jBl0jlHS9oQMFpahkfcfNIPpu0FioVmhomOsM1y0toZZODI3rlWi5OCfvj7q3c1dGdxhyacTeRn-A-MtO4O2_meB3djvdWcOoMkoWgbcPAnH6MWPK9uCTw3GEgNOcLJeaUi4VX9A3j9D9NC87L1Rbdmda2iyUPlIuTilFHE7NMGoXq-xjq-xiVUmV0td_D3Mq_ONNAb4cgX3KsMUTADF7N-L_yi2z-v44_nAC3Q6ixSB-Aw7EsMM</recordid><startdate>20220415</startdate><enddate>20220415</enddate><creator>Nomura, Shun</creator><creator>Ishii, Wataru</creator><creator>Hara, Ryosuke</creator><creator>Nanasawa, Shigeki</creator><creator>Nishiwaki, Kei</creator><creator>Kagoshima, Mitsuru</creator><creator>Takano, Tamaki</creator><creator>Satomi, Hidetoshi</creator><creator>Usui, Tatsuya</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220415</creationdate><title>IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction</title><author>Nomura, Shun ; Ishii, Wataru ; Hara, Ryosuke ; Nanasawa, Shigeki ; Nishiwaki, Kei ; Kagoshima, Mitsuru ; Takano, Tamaki ; Satomi, Hidetoshi ; Usui, Tatsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-9119ec4375cd90f0a77051db29f3dbf8e554638a41cb9286054685c3f4cd73623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aortic aneurysms</topic><topic>Arrhythmia</topic><topic>cardiac mass</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Cerebral infarction</topic><topic>Coronary artery</topic><topic>Coronary artery disease</topic><topic>Heart diseases</topic><topic>IgG4-related disease</topic><topic>Immunoglobulin G</topic><topic>Immunoglobulin G4</topic><topic>Immunosuppressive agents</topic><topic>Inflammatory diseases</topic><topic>Internal medicine</topic><topic>Lymphocytes</topic><topic>Myocardium</topic><topic>Pericarditis</topic><topic>Plasma cells</topic><topic>Pseudotumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nomura, Shun</creatorcontrib><creatorcontrib>Ishii, Wataru</creatorcontrib><creatorcontrib>Hara, Ryosuke</creatorcontrib><creatorcontrib>Nanasawa, Shigeki</creatorcontrib><creatorcontrib>Nishiwaki, Kei</creatorcontrib><creatorcontrib>Kagoshima, Mitsuru</creatorcontrib><creatorcontrib>Takano, Tamaki</creatorcontrib><creatorcontrib>Satomi, Hidetoshi</creatorcontrib><creatorcontrib>Usui, Tatsuya</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nomura, Shun</au><au>Ishii, Wataru</au><au>Hara, Ryosuke</au><au>Nanasawa, Shigeki</au><au>Nishiwaki, Kei</au><au>Kagoshima, Mitsuru</au><au>Takano, Tamaki</au><au>Satomi, Hidetoshi</au><au>Usui, Tatsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2022-04-15</date><risdate>2022</risdate><volume>61</volume><issue>8</issue><spage>1259</spage><epage>1264</epage><pages>1259-1264</pages><artnum>8049-21</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Immunoglobulin G4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by infiltration of extensive IgG4-positive plasma cells and lymphocytes. Although IgG4-RD has been observed in almost all organs, it rarely affects the myocardium. Cardiovascular lesions of IgG4-RD appear as aortic (aortic aneurysm and aortitis) and pericardial (constrictive pericarditis) lesions as well as pseudotumors around the coronary arteries. We herein report a case of IgG4-RD with a cardiac mass in the right atrium involving a sinus node. This condition caused arrhythmia and repeated strokes. 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| source | PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; PubMed Central |
| subjects | Aortic aneurysms Arrhythmia cardiac mass Case Report Case reports Catheters Cerebral infarction Coronary artery Coronary artery disease Heart diseases IgG4-related disease Immunoglobulin G Immunoglobulin G4 Immunosuppressive agents Inflammatory diseases Internal medicine Lymphocytes Myocardium Pericarditis Plasma cells Pseudotumors |
| title | IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction |
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