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タキザワ マキコ
TAKIZAWA Makiko
滝沢 牧子 所属 埼玉医科大学 医学部 総合医療センター 医療安全管理学 職種 教授 |
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| 論文種別 | 学術雑誌(原著) |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | IgG4-related Disease with a Cardiac Mass. |
| 掲載誌名 | 正式名：Internal medicine (Tokyo, Japan) |
| 掲載区分 | 国内 |
| 巻・号・頁 | 59(9),1203-1209頁 |
| 著者・共著者 | Ikuko Matsumura,Takeki Mitsui,Kenichi Tahara,Hiroaki Shimizu,Kunio Yanagisawa,Takuma Ishizaki,Hiromi Koiso,Makiko Takizawa,Akihiko Yokohama,Takayuki Saitoh,Junko Hirato,Hirokazu Murakami,Hiroshi Handa,Norifumi Tsukamoto |
| 発行年月 | 2020/05/01 |
| 概要 | A 69-year-old man with palpitations and decreased blood pressure was referred. Echocardiography showed a mass in the right atrium and cardiac septum. The serum IgG4 level was 1,450 mg/dL. A biopsy of the cardiac mass showed fibrosis with inflammatory cells and increased IgG4-positive plasma cells and lymphocytes. Flow cytometry and polymerase chain reaction of the immunoglobulin heavy chain did not demonstrate monoclonality. He was diagnosed with IgG4-related disease (IgG4-RD). IgG4-RD with a cardiac mass is rare and it is difficult to distinguish it from malignant lymphoma by a pathological examination alone. We therefore performed a biopsy and analyzed the clonality in order to make an accurate diagnosis of IgG4-RD. |
| DOI | 10.2169/internalmedicine.4054-19 |
| PMID | 31956206 |