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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Main Authors: Sung Wook Jang, Min Ho Jeon, Hyun Deok Shin
Format: Article
Language:English
Published: Karger Publishers 2019-09-01
Series:Case Reports in Gastroenterology
Subjects:
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.
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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