Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications
Immunoglobulin G4- (IgG4-) related inflammatory abdominal aortic aneurysm (AAA) has been recognized as a manifestation of IgG4-related disease (IgG4-RD). We experienced one patient with multiple consecutive manifestations before and after endovascular stent grafting for IgG4-related inflammatory AAA...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/8249061 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551612546023424 |
|---|---|
| author | Yuji Naito Tsukasa Miyatake Manami Iwasaki Atsushi Okuyama Akio Takada Koji Chiba Masahiko Obata Junichi Oba |
| author_facet | Yuji Naito Tsukasa Miyatake Manami Iwasaki Atsushi Okuyama Akio Takada Koji Chiba Masahiko Obata Junichi Oba |
| author_sort | Yuji Naito |
| collection | DOAJ |
| description | Immunoglobulin G4- (IgG4-) related inflammatory abdominal aortic aneurysm (AAA) has been recognized as a manifestation of IgG4-related disease (IgG4-RD). We experienced one patient with multiple consecutive manifestations before and after endovascular stent grafting for IgG4-related inflammatory AAA (IAAA). A 71-year-old man was diagnosed with IgG4-RD due to increased IgG4 serum concentration, typical findings of parotid gland biopsy, and periaortitis in another hospital 2 years and 7 months before visiting our hospital. He came to our hospital because of abdominal pain and IAAA. He developed paraplegia after hospitalization and underwent endovascular stent grafting for the IAAA. About one month after stent grafting, he developed perforation of the sigmoid colon due to enteritis. He also had myocardial infarction. Finally, he died of intestinal bleeding. Here, we describe this case with rare, multiple, consecutive manifestations of IgG4-RD, some of which might be caused by IgG4-related IAAA or side effects of treatments rather than by IgG4-RD itself. We report this case because the clinical course seemed rare for IgG4-RD or IgG4-related IAAA. For treating IgG4-RD with IgG4-related IAAA, we should consider factors causing the symptoms and carefully select the proper treatment. |
| format | Article |
| id | doaj-art-85c1d0edb94a4b8f8846e902cf0d45c6 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-85c1d0edb94a4b8f8846e902cf0d45c62025-02-03T06:00:58ZengWileyCase Reports in Vascular Medicine2090-69862090-69942019-01-01201910.1155/2019/82490618249061Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare ComplicationsYuji Naito0Tsukasa Miyatake1Manami Iwasaki2Atsushi Okuyama3Akio Takada4Koji Chiba5Masahiko Obata6Junichi Oba7Department of Thoracic Surgery, Asahikawa City Hospital, Asahikawa, JapanDepartment of Cardiovascular Surgery, Hokko Memorial Hospital, Sapporo, JapanDepartment of Radiation Medicine, Hokkaido University Graduate School of Medicine, Sapporo, JapanDepartment of Internal Medicine, Fukagawa Municipal Hospital, Fukagawa, JapanDepartment of Pathology, Asahikawa City Hospital, Asahikawa, JapanDepartment of Hematology, Asahikawa City Hospital, Asahikawa, JapanDepartment of Pathology, Asahikawa Red Cross Hospital, Asahikawa, JapanDepartment of Cardiovascular Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, JapanImmunoglobulin G4- (IgG4-) related inflammatory abdominal aortic aneurysm (AAA) has been recognized as a manifestation of IgG4-related disease (IgG4-RD). We experienced one patient with multiple consecutive manifestations before and after endovascular stent grafting for IgG4-related inflammatory AAA (IAAA). A 71-year-old man was diagnosed with IgG4-RD due to increased IgG4 serum concentration, typical findings of parotid gland biopsy, and periaortitis in another hospital 2 years and 7 months before visiting our hospital. He came to our hospital because of abdominal pain and IAAA. He developed paraplegia after hospitalization and underwent endovascular stent grafting for the IAAA. About one month after stent grafting, he developed perforation of the sigmoid colon due to enteritis. He also had myocardial infarction. Finally, he died of intestinal bleeding. Here, we describe this case with rare, multiple, consecutive manifestations of IgG4-RD, some of which might be caused by IgG4-related IAAA or side effects of treatments rather than by IgG4-RD itself. We report this case because the clinical course seemed rare for IgG4-RD or IgG4-related IAAA. For treating IgG4-RD with IgG4-related IAAA, we should consider factors causing the symptoms and carefully select the proper treatment.http://dx.doi.org/10.1155/2019/8249061 |
| spellingShingle | Yuji Naito Tsukasa Miyatake Manami Iwasaki Atsushi Okuyama Akio Takada Koji Chiba Masahiko Obata Junichi Oba Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications Case Reports in Vascular Medicine |
| title | Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications |
| title_full | Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications |
| title_fullStr | Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications |
| title_full_unstemmed | Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications |
| title_short | Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications |
| title_sort | rare clinical course of immunoglobulin g4 related inflammatory abdominal aortic aneurysm with multiple rare complications |
| url | http://dx.doi.org/10.1155/2019/8249061 |
| work_keys_str_mv | AT yujinaito rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT tsukasamiyatake rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT manamiiwasaki rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT atsushiokuyama rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT akiotakada rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT kojichiba rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT masahikoobata rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications AT junichioba rareclinicalcourseofimmunoglobuling4relatedinflammatoryabdominalaorticaneurysmwithmultiplerarecomplications |