DOI QR코드

DOI QR Code

Immunoglobulin G4-Related Aortitis of the Abdominal Aorta

  • Choi, Jae Won (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Choi, Jun Young (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Go, Kyung Hyuk (Department of Pathology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Cheon, Yun Hong (Division of Rheumatology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Kim, Jong Woo (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Lee, Chung Eun (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Park, Hyun Oh (Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine)
  • 투고 : 2018.11.19
  • 심사 : 2019.02.22
  • 발행 : 2019.08.05

초록

Noninfectious aortitis, inflammatory abdominal periaortitis, and idiopathic retroperitoneal fibrosis are chronic inflammatory diseases with unclear causes. Recent studies have shown that some cases of aortitis are associated with immunoglobulin G4 (IgG4)-related systemic disease. Herein, we report a case of IgG4-related aortitis (IgG4-RA) that was diagnosed after surgery. Our patient was a 46-year-old man who had experienced abdominal pain for several weeks. Preoperative evaluations revealed an area of aortitis on the infrarenal aorta. He underwent surgery, and histological examination resulted in a diagnosis of IgG4-RA.

키워드

참고문헌

  1. Gornik HL, Creager MA. Aortitis. Circulation 2008;117:3039-51. https://doi.org/10.1161/CIRCULATIONAHA.107.760686
  2. Stone JH, Zen Y, Deshpande V. IgG4-related disease. N Engl J Med 2012;366:539-51. https://doi.org/10.1056/NEJMra1104650
  3. Okazaki K, Uchida K, Koyabu M, Miyoshi H, Takaoka M. Recent advances in the concept and diagnosis of autoimmune pancreatitis and IgG4-related disease. J Gastroenterol 2011;46:277-88. https://doi.org/10.1007/s00535-011-0386-x
  4. Inoue D, Zen Y, Abo H, et al. Immunoglobulin G4-related periaortitis and periarteritis: CT findings in 17 patients. Radiology 2011;261:625-33. https://doi.org/10.1148/radiol.11102250
  5. Zen Y, Nakanuma Y. IgG4-related disease: a cross-sectional study of 114 cases. Am J Surg Pathol 2010;34:1812-9. https://doi.org/10.1097/PAS.0b013e3181f7266b
  6. Cheuk W, Chan JK. IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity. Adv Anat Pathol 2010;17:303-32. https://doi.org/10.1097/PAP.0b013e3181ee63ce
  7. Kasashima S, Zen Y. IgG4-related inflammatory abdominal aortic aneurysm. Curr Opin Rheumatol 2011;23:18-23. https://doi.org/10.1097/BOR.0b013e32833ee95f
  8. Khosroshahi A, Wallace ZS, Crowe JL, et al. International consensus guidance statement on the management and treatment of IgG4-related disease. Arthritis Rheumatol. 2015;67:1688-99. https://doi.org/10.1002/art.39132