Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico

Due to its multisystem involvement, IgG4 -related disease should be considered in the differential diagnosis of medical conditions such as lymphadenopathies, aortitis, serositis and retroperitoneal fibrosis. It shares features with other entities historically described as "great mimickers"...

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Autores principales:	Erlij,Daniel, Ramos,Daniel, Montaña,Jacqueline, Kusnir,Paula, Correa,Gonzalo, Neira,Oscar
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Aortitis Immunoglobulin G Lymphatic diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500014
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spelling	oai:scielo:S0034-988720140005000142014-10-10Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínicoErlij,DanielRamos,DanielMontaña,JacquelineKusnir,PaulaCorrea,GonzaloNeira,Oscar Aortitis Immunoglobulin G Lymphatic diseases Due to its multisystem involvement, IgG4 -related disease should be considered in the differential diagnosis of medical conditions such as lymphadenopathies, aortitis, serositis and retroperitoneal fibrosis. It shares features with other entities historically described as "great mimickers" such as syphilis, tuberculosis, sarcoidosis, and systemic lupus erythematosus. We report a 40 year-old male with recurrent effusive - constrictive pericarditis, lymphadenopathy and aortitis. The study revealed an inactive tuberculosis with negative cultures for acid fast bacilli. The patient had high serum levels of IgG4 and a mediastinal lymph node biopsy was consistent with IgG4 -related disease. The patient was treated with prednisone 40 mg/day with an excellent response.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.5 20142014-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500014es10.4067/S0034-98872014000500014
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortitis Immunoglobulin G Lymphatic diseases
spellingShingle	Aortitis Immunoglobulin G Lymphatic diseases Erlij,Daniel Ramos,Daniel Montaña,Jacqueline Kusnir,Paula Correa,Gonzalo Neira,Oscar Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
description	Due to its multisystem involvement, IgG4 -related disease should be considered in the differential diagnosis of medical conditions such as lymphadenopathies, aortitis, serositis and retroperitoneal fibrosis. It shares features with other entities historically described as "great mimickers" such as syphilis, tuberculosis, sarcoidosis, and systemic lupus erythematosus. We report a 40 year-old male with recurrent effusive - constrictive pericarditis, lymphadenopathy and aortitis. The study revealed an inactive tuberculosis with negative cultures for acid fast bacilli. The patient had high serum levels of IgG4 and a mediastinal lymph node biopsy was consistent with IgG4 -related disease. The patient was treated with prednisone 40 mg/day with an excellent response.
author	Erlij,Daniel Ramos,Daniel Montaña,Jacqueline Kusnir,Paula Correa,Gonzalo Neira,Oscar
author_facet	Erlij,Daniel Ramos,Daniel Montaña,Jacqueline Kusnir,Paula Correa,Gonzalo Neira,Oscar
author_sort	Erlij,Daniel
title	Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
title_short	Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
title_full	Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
title_fullStr	Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
title_full_unstemmed	Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico
title_sort	enfermedad relacionada a igg4, el nuevo "gran simulador": caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000500014
work_keys_str_mv	AT erlijdaniel enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico AT ramosdaniel enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico AT montanajacqueline enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico AT kusnirpaula enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico AT correagonzalo enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico AT neiraoscar enfermedadrelacionadaaigg4elnuevogransimuladorcasoclinico
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Enfermedad relacionada a IgG4, el nuevo "gran simulador": caso clínico

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