• Title/Summary/Keyword: 면역글로불린 G4

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High-dose Intravenous Immune Globulin Retreatment in Kawasaki Disease (가와사끼병에서의 고용량 정주용 면역글로불린 재치료)

  • Shim, So Yun;Heo, Mi Young;Kim, Hae Soon;Sonh, Sejung
    • Clinical and Experimental Pediatrics
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    • v.45 no.10
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    • pp.1273-1277
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    • 2002
  • Purpose : To determine clinical features, laboratory findings and cardiac abnormalities of highdose immune globulin(IVIG) retreatment in patients with Kawasaki disease, and to report effectiveness of retreatment. Methods : Retrospective study of 174 children diagnosed with Kawasaki disease at Ewha Mokdong hospital from March, 1999 to July, 2001. Results : Twenty(11.5%) of 174 patients were retreated with high-dose IVIG. After this, only two patients(1.1%) did not respond to IVIG retreatment. Patients with failure to respond to initial IVIG did not differ from the patients who responded to a single course of IVIG in sex, age, days of fever at initial IVIG and clinical characteristics. Compared with responders with single IVIG treatment, the patients who were retreated had significantly lower albumin(3.7 vs 3.4 g/dL, P < 0.05), higher ALT(118.2 vs 229.3 U/L, P < 0.05) and CRP(8.9 vs 13.3 mg/dL, P < 0.05). On echocardiography, patients who recieved IVIG retreatment were significantly more likely to have caronary abnormalities(45.0% vs 13.6%, P < 0.05). Conclusion : Retratment with IVIG for persistent or recurrent fever was safe and effective.

Immunoglobulin G4-Related Disease of the Ovary Mimicking Bilateral Ovarian Malignancies (양측 난소의 악성 종양으로 오인한 난소의 면역글로불린 G4 관련 질환)

  • Yongsik Sim;Taek Chung;Dae Chul Jung;Hyun-Soo Kim;Young Taik Oh
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.996-1002
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    • 2020
  • Immunoglobulin G4-related disease (IgG4-RD) is a fibro-inflammatory condition characterized by several pathological features that can theoretically involve all organs. Ovarian involvement in IgG4-RD has been reported by two studies only. Herein, we report a pathologically confirmed case of ovarian involvement of IgG4-RD, which mimicked bilateral ovarian malignancies on computed tomography and magnetic resonance imaging.

Change of absolute neutrophil count after intravenous immunoglobulin administration for the children with idiopathic thrombocytopenic purpura (특발성혈소판감소성자반증 환아에서 정주용 면역 글로불린 투여 후 절대 호중구 수치의 변화)

  • Shin, Hyun Jung;Bang, In Kug;Choe, Byung Kyu;Hwang, Jin-Bok;Kim, Jun Sik;Kim, Heung Sik
    • Clinical and Experimental Pediatrics
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    • v.50 no.10
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    • pp.982-986
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    • 2007
  • Purpose : Intravenous immunoglobulin (IVIG) is effective for the treatment of idiopathic thrombocytopenic purpura (ITP) in children. Recently, several reports have been published that show its impact on the absolute neutrophil count. The present study was performed to confirm these findings. Methods : Data on 26 ITP patients were analyzed. Patients with febrile illness or increased C-reactive protein levels at presentation, which would influence the neutrophil counts, were excluded to determine the sole impact of IVIG. In addition, patients who received steroid treatment were also excluded. Results : Sixteen boys and ten girls were analyzed. For patients who received an IVIG dose of 0.4 g/kg/day (n=17), the absolute neutrophil count (ANC) measured next day was significantly decreased. For patients who received an IVIG dose of 1 g/kg/day (n=9), the ANC measured the next day was also significantly decreased. However, the decrease was more profound in the high-dose group compared to the low-dose group. Among six cases with profoundly decreased ANC greater than $1,000/mm^3$, four patients (67%) received IVIG at a dose of 1 g/kg/day. All four cases with increased ANC were treated with IVIG dose of 0.4 g/kg/day, and three cases (75%) among them had a febrile reaction during IVIG administration. None of the cases with decreased ANC had a febrile reaction. No cases had infectious complications reported. Conclusion : IVIG treatment for ITP patients appears to suppress the ANC. This decrease of ANC was more pronounced when a higher dose of IVIG was used. Some cases with increased ANC counts after IVIG use were found only in low-dose IVIG group, and was associated with febrile reactions during IVIG use.

Incidence of Immunoglobulin G Subclass Deficiencies in Patients with Bronchiectasis and the Clinical Characteristics of Patients with Immunoglobulin G Subclass Deficiency and Bronchiectasis (기관지확장증 환자에서 면역글로불린 G 아강 결핍증의 빈도 및 특성)

  • Kim, Chang Hwan;Kim, Dong-Gyu;Park, Sung Hoon;Choi, Jeong-Hee;Lee, Chang Youl;Hwang, Yong Il;Sin, Tae Rim;Park, Sang Myeon;Park, Yong Bum;Lee, Jae Young;Jang, Seung Hun;Kim, Cheol-Hong;Mo, Eun Kyung;Lee, Myung Goo;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.4
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    • pp.295-299
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    • 2009
  • Background: There are various etiologies causing bronchiectasis, but the cases without definite causes account for a quite high proportion. It is also uncertain that immunoglobulin G subclass deficiency (IgGSD) is associated with bronchiectasis. Therefore, we tried to measure the frequency of IgGSD in patients with bronchiectasis of unclear etiology, and to observe the clinical features of those patients with bronchiectasis and IgGSD. Methods: For the outpatients of a university hospital who were diagnosed as bronchiectasis by chest CT, we produced comprehensive history taking and physical examinations, and finally selected 31 patients with bronchiectasis of unclear etiology. Results: Two patients had total immunoglobulin G deficiency. The frequency of IgGSD was comparatively high (n=14). When we compared IgGSD group to normal immunoglobulin G subclass group, there were no significant differences in sex, age, and the frequency of sinusitis, bronchial asthma, and the abnormal lung function. Conclusion: In cases of bronchiectasis without definite causes, it can be considered to measure the level of immunoglobulin G subclass. It is also probably worthwhile to further evaluate the relationship between IgGSD and bronchiectasis.

Serum Lmmunoglobulin G and M Level after Xenograft Valve or Valved Conduit Implantation (이종 조직판막 도관 혹은 판막 이식술 직후 면역 글로불린 항체 G, M의 혈중 농도 변화)

  • Kwak, Jae-Gun;Yoo, Jae-Suk;Yoon, Sun-Hee;Kim, Woong-Han;Kim, Kyung-Hwan;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.41 no.2
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    • pp.223-228
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    • 2008
  • Background: The aim of this study is to confirm that peripheral blood sampling for measuring of serum immunoglobulin can predict immunological changes after xenograft implantation. Material and Method: Between March 2006 and January 2007, 19 patients were enrolled (10 xenograft implantation group, 9 control group). Through 3 peripheral blood samples, we measured changes in serum immunoglobulin G and M levels preoperatively, and 2 and 10 days postoperatively. Result: In both groups, serum immunoglobulin levels showed similar changes-they decreased 2 days postoperatively, then increased up to the baseline levels 10 days postoperatively. However, this postoperative change of immunoglobulin G and M was not significantly different in absolute value or pattern between the 2 groups (Ig G; p-value=0.393, Ig M; p-value=0.193). Conclusion: We could not predict immunological changes after xenograft implantation by measuring serum immunoglobulin levels by simple blood sampling. Direct checking of ${\alpha}$-Galactose antibody may confirm an immunological reaction after xenograft implantation.

Effects of Aerobic Exercise and a Protein Diet on Serum Lipid Profiles, Liver Function, and Immunoglobulin in Rats (유산소 운동과 단백식이가 흰쥐의 혈중지질, 간기능 및 면역글로불린에 미치는 영향)

  • Sung, Gi-Dong;Son, Won-Mok;Baek, Yeong-Ho
    • Journal of Life Science
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    • v.22 no.1
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    • pp.92-97
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    • 2012
  • The purpose of this study was to analyze the effects of aerobic exercise and a protein diet on serum lipid profiles, liver function, and immunoglobulin levels in rats. The subjects, 24 male Sprague-Dawley rats, were grouped into an exercise with protein diet group (A, n=6), a protein diet group (B, n=6), an exercise group (C, n=6), and a control group (D, n=6). The exercise with protein group trained for 4 weeks (20-30 min/day, speed at 14~17 m/min) and was given a 40% protein diet for 4 weeks. The variables of serum lipid profiles, liver function, and immunoglobulin levels were measured in all of the subjects at the end of the 4 weeks of treadmill exercise. Serum TC and LDL-C levels were significantly decreased in the exercise with protein diet group compared to the other groups and serum HDL-C, GOP, and IgG were significantly higher than in the other groups. However, no significant differences were found for the IgA and IgM levels. In conclusion, aerobic exercise with a protein diet was effective in improving serum lipid profiles, liver function, and immunoglobulin.

Immunoglobulin G4-Related Disease Involving Various Head and Neck Regions: A Case Report (두경부에 국한된 표현형으로 발생한 면역글로불린 G4와 연관된 질환: 증례 보고)

  • Jun Yong Im;Miok Sunwoo
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.910-917
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    • 2022
  • Immunoglobulin G4 (IgG4) related disease (IgG4-RD) is currently considered an immune-mediated condition and is recognized as a disorder group with common pathological, hematological, and clinical characteristics. This disease may involve diverse organs of the head and neck, and include mainly the lacrimal gland, orbit, thyroid gland, pituitary gland, and the meninges. Here, we report a case of IgG4-RD in a 65-year-old female showing head- and neck-limited but synchronously and mainly manifesting as otalgia and facial neuritis.

A Case of Granulomatosis with Polyangiitis with IgG4-Related Disease Expressed by Facial Paralysis and Hearing Loss (안면 마비와 난청으로 진단된 면역글로불린 G4 연관질환 동반 육아종성 다발 혈관염 1예)

  • Kim, Hyung-sik;Doo, Jeon Gang;Yeo, Seung Geun;Kim, Sang Hoon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.240-244
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    • 2018
  • Granulomatosis with polyangiitis (GPA) and Immunoglobulin (Ig) $G_4$-related disease ($IgG_4$-RD) are rare diseases and early diagnosis and proper management are imperative to prevent multi-organ damage. The authors present a case of a 60 years old woman who had facial paralysis and hearing loss. Lt intact canal wall tympanomastoidectomy, Lt facial nerve decompression and ossiculoplasty with partial ossicular replacement prosthesis (PORP) was done. During operation, middle ear tissue was biopsied and GPA with $IgG_4$-RD was diagnosed. After methyl prednisolone (MPD) pulse therapy and azathioprine therapy, the severity of paralysis was improved. We present this case because common otologic symptoms like facial palsy and hearing loss could be initial symptoms of rare systemic disease.

Erdheim-Chester Disease Involving the Biliary System and Mimicking Immunoglobulin G4-Related Disease: A Case Report (면역글로불린 G4 연관 질환과 유사한 담관 침범을 보이는 Erdheim-Chester 병: 증례 보고)

  • Hyuk Gi Hong;Yong Eun Chung;June Park;Yeo Eun Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.757-762
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    • 2023
  • First described in 1930 as a lipoid granulomatosis, Erdheim-Chester disease (ECD) is a rare histiocytosis encompassing a group of disorders caused by overproduction of histiocytes, a subtype of white blood cells. This disease most commonly involves the bones and can affect organs in the abdomen; however, biliary involvement is rarely reported. We report a case of ECD with biliary involvement, which rendered it difficult to radiologically distinguish ECD from immunoglobulin G4-related disease.

Effects of Using Prop for Con vergence Pilates Met Exercise on the Immunoglobulin in Middle-aged Women (소도구를 활용한 융복합 필라테스 매트운동이 중년여성의 면역글로블린에 미치는 영향)

  • Back, Soon-Gi
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.329-336
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    • 2015
  • In this study, Pilates mat exercise program three times a week for 8 weeks, 10 minutes for a warm up, 40 minutes of main exercise, and 10-minute cool down exercise using gadgetry to the middle aged women. Pilates exercise program when exercise intensity based on the instructions of the ACSM (2010) as 1-4 weeks 50-60% HRR, 5-8 weeks 61-70% HRR to give 50-70%, maintaining the strength of 4 weeks. Pilates exercise program by gadgetry has increased the strength of wireless heart rate meter (Polar Analyzer, Polar Electro of Finland) Karvonen (1979), proceed individual target heart exercise obtained as a way now to check your strength workout through individual conciousness. We estimated immunoglobulin change for Pilates mat exercise by gadgetry during 8-week. It showed the following conclusions. First, immunoglobulin IgA has been increased and Interaction effects has been showed thruough Pilates mat exercise programs for 8 weeks. Second, immunoglobulin IgG has been increased and showed Interaction effects has been showed thruough Pilates mat exercise programs for 8 weeks. Third, immunoglobulin IgM has been increased and showed Interaction has been showed effects thruough Pilates mat exercise programs for 8 weeks. Therefore, this study was conducted on a Pilates mat exercise using props immune function are positive hormonal changes, can prevent private for the disease and effective exercises that are the fodder.