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首页> 外文期刊>Modern rheumatology >A condition closely mimicking IgG4-related disease despite the absence of serum IgG4 elevation and IgG4-positive plasma cell infiltration
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A condition closely mimicking IgG4-related disease despite the absence of serum IgG4 elevation and IgG4-positive plasma cell infiltration

机译:尽管没有血清IgG4升高和IgG4阳性浆细胞浸润,但仍紧密模仿IgG4相关疾病的疾病

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摘要

We describe a 74-year-old Japanese man with systemic fibroinflammatory conditions closely resembling those of immunoglobulin G4-related disease (IgG4-RD). Radiology and histology showed characteristics of IgG4-related tubulointerstitial nephritis, despite normal serum IgG4 value and scanty IgG4-positive plasma cell infiltration in each organ. This case suggests that a condition closely mimicking IgG4-RD may develop without IgG4-positive plasma cells and those exceptional cases should also be taken into account in the differential diagnosis of IgG4-RD.
机译:我们描述了一个74岁的日本男子,全身免疫性纤维炎的状况与免疫球蛋白G4相关疾病(IgG4-RD)极为相似。放射学和组织学检查显示,尽管每个器官中的血清IgG4值正常且IgG4阳性的浆细胞浸润很少,但IgG4相关的肾小管间质性肾炎的特征。这种情况表明,在没有IgG4阳性浆细胞的情况下,可能会出现非常类似于IgG4-RD的疾病,在IgG4-RD的鉴别诊断中也应考虑到那些特殊情况。

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