| Literature DB >> 27301513 |
Shunsuke Nishimura1, Masashi Amano, Chisato Izumi, Maiko Kuroda, Yusuke Yoshikawa, Yusuke Takahashi, Sari Imamura, Naoaki Onishi, Yodo Tamaki, Soichiro Enomoto, Makoto Miyake, Toshihiro Tamura, Hirokazu Kondo, Kazuaki Kaitani, Yoshihisa Nakagawa.
Abstract
A 60-year-old man was admitted due to the onset of right coronary artery (RCA) aneurysms. Coronary angiography showed two RCA aneurysms and focal stenosis with limitations in the blood flow. Balloon angioplasty was performed. However, the follow-up coronary angiography showed restenosis, an enlarged proximal aneurysm and a newly formed aneurysm. The serum immunoglobulin G4 level was elevated to 1,350 mg/dL and fluorodeoxyglucose positron emission tomography showed increased uptake in the ascending aorta, so the patient was diagnosed with immunoglobulin G4-related vascular disease. The prevention of further enlargement of the aneurysms and an improvement in the RCA flow were achieved with steroid therapy. Steroid therapy may therefore be effective for immunoglobulin G4-related vascular disease.Entities:
Mesh：
Substances：
Year: 2016 PMID： 27301513 DOI： 10.2169/internalmedicine.55.6314
Source DB: PubMed Journal: Intern Med ISSN： 0918-2918 Impact factor: 1.271