Internal medicine (Tokyo, Japan) · 2016
IgG4-related Disease Involving Multiple Organs with Elevated Serum Interleukin-6 Levels.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Ikeura Tsukasa, Horitani Shunsuke, Masuda Masataka, Kasai Takeshi, Yanagawa Masato, Miyoshi Hideaki, Uchida Kazushige, Takaoka Makoto, Miyasaka Chika, Uemura Yoshiko, Okazaki Kazuichi
Аннотация
A 63-year-old woman presented to our hospital with elevated levels of serum IgG4, marked wall thickening of the gallbladder, hepatomegaly, and abdominal lymphadenopathy. She experienced a recurrent fever and leg edema. Her laboratory data demonstrated anemia, hypoalbuminemia, and elevated serum levels of interleukin-6 and C-reactive protein. The patient was eventually diagnosed with IgG4-related disease according to the comprehensive diagnostic criteria, although the patient exhibited common clinical manifestations of multicentric Castleman disease such as a fever, anemia, lymphadenopathy, and elevated levels of serum interleukin-6 and C-reactive protein. This case report highlights the difficulties in differentiating between these two diseases.