Coronary Periarteritis in a Patient with Multi-organ IgG4-related Disease
Overview
Affiliations
Immunoglobulin G4-related disease is a recently described systemic clinicopathological entity characterized by immunoglobulin G4-producing plasmacytic infiltration of tissue and frequently by elevated serum immunoglobulin G4 concentration. Manifestations of this disease have been documented in nearly all organs and locations, but coronary artery involvement is not widely recognized. We report the coronary findings of a patient with multi-organ immunoglobulin G4-related disease. Non-electrocardiogram-gated computed tomography of the chest demonstrated nodular and rind-like periarterial soft tissue thickening along the proximal coronary artery segments with improvement following steroid therapy.
Koowattanatianchai S, Teawprasert N, Limchareon S, Kaolawanich Y Eur J Case Rep Intern Med. 2024; 11(1):004215.
PMID: 38223278 PMC: 10783455. DOI: 10.12890/2023_004215.
Multimodality Imaging Evaluation of Coronary IgG4-Related Disease: A "Tumor-Like" Cardiac Lesion.
Lanzafame L, Carerj M, Rizzo G, Minutoli F, Bucolo G, Irrera N Diagnostics (Basel). 2022; 12(11).
PMID: 36428873 PMC: 9689228. DOI: 10.3390/diagnostics12112814.
Volodarsky I, Anton A, Zilberman L, Fugenfirov I, Neumark E, Malnick S Biology (Basel). 2022; 11(8).
PMID: 36009795 PMC: 9404706. DOI: 10.3390/biology11081168.
Liu X, Zhao Y, Wu N, Zhang W Eur Heart J Case Rep. 2022; 6(5):ytac182.
PMID: 35664897 PMC: 9154054. DOI: 10.1093/ehjcr/ytac182.
Immunoglobulin G4-related coronary periarteritis: a systematic literature review with a case series.
Ito T, Fukui S, Kanie T, Tamaki H, Okada M Clin Rheumatol. 2022; 41(8):2281-2295.
PMID: 35445950 DOI: 10.1007/s10067-022-06179-y.