Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression
Immunoglobulin G4 (IgG4)-related lung disease has been actively studied over the past few years. Radiologic findings of IgG4-related lung disease vary among patients, but there are no long-term follow up studies regarding variations in imaging features over the course of disease progression. In two...
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Aineistotyyppi: | Artikkeli |
Kieli: | English |
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The Korean Society of Radiology
2018-11-01
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Sarja: | 대한영상의학회지 |
Aiheet: | |
Linkit: | https://doi.org/10.3348/jksr.2018.79.5.276 |
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author | Dong-Kyu Lee Soo-Youn Ham |
author_facet | Dong-Kyu Lee Soo-Youn Ham |
author_sort | Dong-Kyu Lee |
collection | DOAJ |
description | Immunoglobulin G4 (IgG4)-related lung disease has been actively studied over the past few years. Radiologic findings of IgG4-related lung disease vary among patients, but there are no long-term follow up studies regarding variations in imaging features over the course of disease progression. In two cases with relatively long-term follow up, diverse early and late computed tomography (CT) findings of IgG4-related lung disease are reviewed in this report. In contrast to nodular or diffuse ground-glass opacity, which was predominantly noted in CT scans at earlier stages of disease, honeycombing and traction bronchiectasis were regarded as late radiologic manifestations. Solid nodules might be visible in both early and late stages; however, development of new solid nodules and enlargement of preexisting nodules could occur during disease progression. Interlobular septal thickening and mediastinal/hilar lymphadenopathy were persistent, even in later stages of the disease. These findings might be useful in making an accurate and timely diagnosis of IgG4-related lung disease. |
first_indexed | 2024-12-13T20:26:25Z |
format | Article |
id | doaj.art-8118b51a79a5454cb3315a6443cf6c7e |
institution | Directory Open Access Journal |
issn | 1738-2637 2288-2928 |
language | English |
last_indexed | 2024-12-13T20:26:25Z |
publishDate | 2018-11-01 |
publisher | The Korean Society of Radiology |
record_format | Article |
series | 대한영상의학회지 |
spelling | doaj.art-8118b51a79a5454cb3315a6443cf6c7e2022-12-21T23:32:33ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282018-11-01795276281https://doi.org/10.3348/jksr.2018.79.5.276Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease ProgressionDong-Kyu Lee0Soo-Youn Ham1Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, KoreaDepartment of Radiology, Kangbuk Samsung Hospital, Seoul, KoreaImmunoglobulin G4 (IgG4)-related lung disease has been actively studied over the past few years. Radiologic findings of IgG4-related lung disease vary among patients, but there are no long-term follow up studies regarding variations in imaging features over the course of disease progression. In two cases with relatively long-term follow up, diverse early and late computed tomography (CT) findings of IgG4-related lung disease are reviewed in this report. In contrast to nodular or diffuse ground-glass opacity, which was predominantly noted in CT scans at earlier stages of disease, honeycombing and traction bronchiectasis were regarded as late radiologic manifestations. Solid nodules might be visible in both early and late stages; however, development of new solid nodules and enlargement of preexisting nodules could occur during disease progression. Interlobular septal thickening and mediastinal/hilar lymphadenopathy were persistent, even in later stages of the disease. These findings might be useful in making an accurate and timely diagnosis of IgG4-related lung disease.https://doi.org/10.3348/jksr.2018.79.5.276igg4lungdiseasecomputed tomographyx-rayprogression |
spellingShingle | Dong-Kyu Lee Soo-Youn Ham Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression 대한영상의학회지 igg4 lung disease computed tomography x-ray progression |
title | Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression |
title_full | Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression |
title_fullStr | Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression |
title_full_unstemmed | Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression |
title_short | Sequential CT Findings in Two Cases of Immunoglobulin G4-Related Lung Disease: Focused on Disease Progression |
title_sort | sequential ct findings in two cases of immunoglobulin g4 related lung disease focused on disease progression |
topic | igg4 lung disease computed tomography x-ray progression |
url | https://doi.org/10.3348/jksr.2018.79.5.276 |
work_keys_str_mv | AT dongkyulee sequentialctfindingsintwocasesofimmunoglobuling4relatedlungdiseasefocusedondiseaseprogression AT sooyounham sequentialctfindingsintwocasesofimmunoglobuling4relatedlungdiseasefocusedondiseaseprogression |