1. IgG4-related Disease with a Cardiac Mass Causing Cerebral Infarction.
- Author
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Nomura S, Ishii W, Hara R, Nanasawa S, Nishiwaki K, Kagoshima M, Takano T, Satomi H, and Usui T
- Subjects
- Cerebral Infarction diagnostic imaging, Cerebral Infarction etiology, Humans, Immunoglobulin G, Pericardium, Aortitis, Immunoglobulin G4-Related Disease complications, Immunoglobulin G4-Related Disease diagnosis
- 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. We successfully treated the patient through resection of the cardiac mass, catheter ablation and immunosuppressive therapy.
- Published
- 2022
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