A Case of IgG4-Related Disease of Gastrointestinal Origin Suspected to be Lymphoma and Actinomyces Infection |
Young Cheon Ra, Eun Sun Kim, Hoon Jai Chun, Yoon Tae Jeen, Bora Keum, Hyuk Soon Choi, Han Jo Jeon, Sang Hyun Kim, Bomee Lee |
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea |
림프종과 방선균증으로 의심되던 위장관 발생 IgG4 연관 질환 1례 |
라영천, 김은선, 전훈재, 진윤태, 금보라, 최혁순, 전한조, 김상현, 이보미 |
고려대학교 의과대학 고려대학교 안암병원 소화기내과 |
Correspondence:
Eun Sun Kim, Tel: +82-2-920-6553, Fax: +82-2-920-6553, Email: silverkes@naver.com |
Received: 18 May 2025 • Revised: 11 September 2024 • Accepted: 15 November 2024 |
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Abstract |
Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition characterized by the tendency to form tumefactive lesions. However, the disease has highly variable clinical manifestations, as IgG4-RD can affect any organ. The biliary tree and major salivary glands are commonly affected; however, bowel mucosa is rarely affected. A 41-year-old man presented to our hospital complaining of abdominal pain. Computed tomography and endoscopy were performed at another hospital, and a biopsy was performed on a lesion suspected to be malignant. Biopsy revealed no remarkable findings other than lymphoid hyperplasia. Subsequently, IgG4-RD was confirmed via surgical biopsy. The disease and its symptoms were successfully treated with steroid therapy. |
Key Words:
Immunoglobulin G4-related disease; Autoimmune diseases; Gastrointestinal tract; Case reports |
주제어:
IgG4 연관 질환; 자가면역질환; 소화기계 질환; 증례 보고 |
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