Immunoglobulin G4-related periaortitis mimicking an intramural hematoma.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21958804.
- Also identified by DOI 10.1016/j.athoracsur.2011.03.141.
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Abstract
Immunoglobulin G4 (IgG4)-related sclerosing disease in the cardiovascular system is a recently proposed disease entity, which is still unfamiliar to most clinicians. We present a case of IgG4-related periaortitis of the ascending aorta mimicking an intramural hematoma in the computed tomography (CT) scan, which led to an unnecessary surgery. IgG4-related periaortitis needs to be considered in the differential diagnosis in a patient with thickened aortic wall because the disease should be treated medically in light of its good response to steroid therapy.
Medical subject headings
- Antibodies, Anti-Idiotypic
- Aorta, Thoracic
- Aortitis
- Hematoma
- Immunoglobulin G