J Med Life Sci > Volume 11(2); 2014 > Article
Journal of Medicine and Life Science 2014;11(2):144-147.
DOI: https://doi.org/10.22730/jmls.2014.11.2.144    Published online December 18, 2018.
Presumed IgG4-Related Disease Presented as Coronary Periateritis: A Case Report Showing Dramatic Response to Steroid Therapy
Jeong Jae Kim, Song Yi Kim, Sun Young Jeong, Seung Hyung Kim, Im Kyung Hwang
A 54-year-old man underwent a coronary computed tomographic (CT) angiogram for a health check-up, and a soft tissue mass surrounding the right coronary artery was observed in the right atrioventricular groove. Moderate degree of multifocal stenoses were also noted in the left coronary artery. The serum concentration of immunoglobulin G4 was significantly increased at 1569 mg/dl. In suspicion of IgG4-related periarteritis, he was treated with steroids. Two months after steroid therapy, coronary CT angiography revealed interval improvement of coronary periarteritis.
Key Words: IgG4-related disease, coronary artery, periarteritis, steroids
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