IgG4-Related Disease with Esophageal Involvement
We report the case of a 56-year-old man who presented with dysphagia and weight loss. An esophagoduodenoscopy revealed a severe esophageal stricture in the distal esophagus. After surgical resection, the final pathologic analysis revealed that the tumor was comprised of benign-appearing fibroinflamm...
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Format: | Article |
Language: | English |
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Karger Publishers
2019-09-01
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Series: | Case Reports in Gastroenterology |
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Online Access: | https://www.karger.com/Article/FullText/502794 |
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author | Sung Wook Jang Min Ho Jeon Hyun Deok Shin |
author_facet | Sung Wook Jang Min Ho Jeon Hyun Deok Shin |
author_sort | Sung Wook Jang |
collection | DOAJ |
description | We report the case of a 56-year-old man who presented with dysphagia and weight loss. An esophagoduodenoscopy revealed a severe esophageal stricture in the distal esophagus. After surgical resection, the final pathologic analysis revealed that the tumor was comprised of benign-appearing fibroinflammatory cells with an increase and predominance of IgG4-positive plasma cells. He did not, however, have any other symptoms indicative of systemic autoimmune disease or connective tissue disorders. Histologically, abundant infiltration of IgG4-positive plasma cells and lymphocytes was observed. The patient was diagnosed with IgG4-related disease, definitive, with esophageal involvement. |
first_indexed | 2024-12-24T11:06:39Z |
format | Article |
id | doaj.art-17f79fc43f6d4c4784ce6169841b691c |
institution | Directory Open Access Journal |
issn | 1662-0631 |
language | English |
last_indexed | 2024-12-24T11:06:39Z |
publishDate | 2019-09-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Gastroenterology |
spelling | doaj.art-17f79fc43f6d4c4784ce6169841b691c2022-12-21T16:58:36ZengKarger PublishersCase Reports in Gastroenterology1662-06312019-09-0113336937510.1159/000502794502794IgG4-Related Disease with Esophageal InvolvementSung Wook JangMin Ho JeonHyun Deok ShinWe report the case of a 56-year-old man who presented with dysphagia and weight loss. An esophagoduodenoscopy revealed a severe esophageal stricture in the distal esophagus. After surgical resection, the final pathologic analysis revealed that the tumor was comprised of benign-appearing fibroinflammatory cells with an increase and predominance of IgG4-positive plasma cells. He did not, however, have any other symptoms indicative of systemic autoimmune disease or connective tissue disorders. Histologically, abundant infiltration of IgG4-positive plasma cells and lymphocytes was observed. The patient was diagnosed with IgG4-related disease, definitive, with esophageal involvement.https://www.karger.com/Article/FullText/502794IgG4-related diseaseEsophagusAutoimmune esophagitis |
spellingShingle | Sung Wook Jang Min Ho Jeon Hyun Deok Shin IgG4-Related Disease with Esophageal Involvement Case Reports in Gastroenterology IgG4-related disease Esophagus Autoimmune esophagitis |
title | IgG4-Related Disease with Esophageal Involvement |
title_full | IgG4-Related Disease with Esophageal Involvement |
title_fullStr | IgG4-Related Disease with Esophageal Involvement |
title_full_unstemmed | IgG4-Related Disease with Esophageal Involvement |
title_short | IgG4-Related Disease with Esophageal Involvement |
title_sort | igg4 related disease with esophageal involvement |
topic | IgG4-related disease Esophagus Autoimmune esophagitis |
url | https://www.karger.com/Article/FullText/502794 |
work_keys_str_mv | AT sungwookjang igg4relateddiseasewithesophagealinvolvement AT minhojeon igg4relateddiseasewithesophagealinvolvement AT hyundeokshin igg4relateddiseasewithesophagealinvolvement |