Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications
Joint Authors
Naito, Yuji
Miyatake, Tsukasa
Iwasaki, Manami
Okuyama, Atsushi
Takada, Akio
Chiba, Koji
Obata, Masahiko
Oba, Junichi
Source
Case Reports in Vascular Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Naito, Yuji& Miyatake, Tsukasa& Iwasaki, Manami& Okuyama, Atsushi& Takada, Akio& Chiba, Koji…[et al.]. 2019. Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications. Case Reports in Vascular Medicine،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1145568
Modern Language Association (MLA)
Naito, Yuji…[et al.]. Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications. Case Reports in Vascular Medicine No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1145568
American Medical Association (AMA)
Naito, Yuji& Miyatake, Tsukasa& Iwasaki, Manami& Okuyama, Atsushi& Takada, Akio& Chiba, Koji…[et al.]. Rare Clinical Course of Immunoglobulin G4-Related Inflammatory Abdominal Aortic Aneurysm with Multiple Rare Complications. Case Reports in Vascular Medicine. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1145568
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145568