대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권6호
  • /
  • Pages.1373-1377
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  • 2023
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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호전과 악화를 반복하는 폐 병변을 가진 면역글로불린 G4 관련 폐 질환: 증례 보고

Immunoglobulin G4-Related Lung Disease with Waxing and Waning Pulmonary Infiltrates: A Case Report

  • 백요한 (경북대학교 의과대학 영상의학교실) ;
  • 박종민 (경북대학교 의과대학 영상의학교실) ;
  • 박병건 (경북대학교 의과대학 영상의학교실) ;
  • 임재광 (경북대학교 의과대학 영상의학교실) ;
  • 임춘근 (경북대학교 의과대학 영상의학교실) ;
  • 서안나 (경북대학교 의과대학 칠곡경북대학교병원 병리학과)
  • John Baek (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Jongmin Park (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Byunggeon Park (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Jae-Kwang Lim (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • Chun Geun Lim (Department of Radiology, School of Medicine, Kyungpook National University) ;
  • An Na Seo (Department of Pathology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital)
  • 투고 : 2022.12.21
  • 심사 : 2023.06.11
  • 발행 : 2023.11.01
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초록

면역글로불린 G4 (immunoglobulin G4; 이하 IgG4) 관련 폐 질환은 다양한 임상 경과를 가질 수 있다. 우리가 아는 한, 호전과 악화를 반복하는 폐 침윤을 동반한 IgG4 관련 폐 질환의 단독 보고는 매우 드물다. 36세 여성이 수술 전 평가에서 폐에 결절성 및 둥근 모양의 간유리음영을 발견했다. 폐 병변은 후속 흉부 컴퓨터 단층 촬영에서 호전과 악화를 반복하였다. 병변은 수술 후 IgG4 관련 폐 질환으로 확인되었다.

Immunoglobulin G4 (IgG4)-related lung disease can have various clinical courses. To our knowledge, reports of IgG4-related lung disease with waxing and waning pulmonary infiltrates only are very rare. A few lung nodules and ground glass opacities were incidentally found in a pre-operative evaluation in a 36-year-old female. The lung lesions showed waxing and waning in the follow-up chest CT. She underwent a surgical biopsy, and IgG4-related lung disease was confirmed.

키워드

참고문헌

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