| Literature DB >> 22790130 |
Mizuki Nishimura1, Terumi Kamisawa, Yasuyuki Kitahara, Akihiro Nishizawa, Taku Tabata, Seiichi Hara, Sawako Kuruma, Kazuro Chiba, Takashi Fujiwara, Go Kuwata, Hideto Egashira, Koichi Koizumi, Junko Fujiwara, Takeo Arakawa, Kumiko Momma.
Abstract
A 79-year-old man had a 3.5-year history of edema of the lower extremities of unknown etiology. Abdominal computed tomography showed a soft tissue mass around the abdominal aorta, and the biopsy revealed dense fibrosis with abundant infiltration of IgG4-positive plasma cells. His serum IgG4 level was increased to 188 mg/dL. His lower extremity edema was induced by stenosis of the inferior vena cava (IVC) due to the mass. With a diagnosis of IgG4-related retroperitoneal fibrosis, he was treated with steroid, and the leg edema decreased with improvement of patency of the IVC and reduction of the soft tissue mass.Entities:
Mesh:
Substances:
Year: 2012 PMID: 22790130 DOI: 10.2169/internalmedicine.51.7378
Source DB: PubMed Journal: Intern Med ISSN: 0918-2918 Impact factor: 1.271