Suspected Frequent Relapsing IgG4-related Lung Disease in Kidney Transplant Patient: A Case Report
- Authors
- Kim, A. J.; Ro, H.; Chang, J. H.; Jung, J. Y.; Chung, W. K.; Park, Y. H.; Lee, H. H.
- Issue Date
- Oct-2018
- Publisher
- ELSEVIER SCIENCE INC
- Citation
- TRANSPLANTATION PROCEEDINGS, v.50, no.8, pp.2572 - 2574
- Journal Title
- TRANSPLANTATION PROCEEDINGS
- Volume
- 50
- Number
- 8
- Start Page
- 2572
- End Page
- 2574
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/3251
- DOI
- 10.1016/j.transproceed.2018.02.197
- ISSN
- 0041-1345
- Abstract
- Besides the initial description of IgG4-related pancreatic disease, other sites are now commonly involved. However, occurrence of IgG4-related disease is rare in organ transplanted patients. A 57-year-old man who received a kidney transplantation presented with recurrent dyspnea on exertion. A computed tomography scan of the chest revealed bilateral interlobular septal thickening and multiple tubular and branching small nodular lesions in the right upper lobe, and mass-like consolidation of the left middle lobe. Despite no elevation of serum IgG4 level, a percutaneous core needle biopsy on consolidative mass showed interstitial fibrosis and infiltration of IgG4-positive plasma cells to be more than > 20 per high power field. After treatment with glucocorticoids and rituximab, the consolidative mass of the left middle lobe disappeared.
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