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KMID : 0191120130280121830
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Journal of Korean Medical Science
2013 Volume.28 No. 12 p.1830 ~ p.1834
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Immunoglobulin G4 Non-Related Sclerosing Disease with Intracardiac Mass Mimicking Mitral Stenosis: Case Report
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Hwang Ji-Won
Park Sung-Ji
Gwag Hye-Bin
Ha Jung-Min
Lee Woo-Joo
Kim Eun
Yune Se-Hyo
Kim Jung-Sun
Park Yang-Jin
Kim Duk-Kyung
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Abstract
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The cardiovascular system may be one of the target organs of both immunoglobulin G4 related and non-related systemic multifocal fibrosclerosis. We present a case of IgG4 non-related systemic multifocal fibrosclerosis mimicking mitral stenosis on echocardiography. For a more detailed differential diagnosis, we used multimodal imaging techniques. After surgical biopsy around the abdominal aortic area in the retroperitoneum, histological examination revealed IgG4 non-related systemic multifocal fibrosclerosis. We describe the multimodal imaging used to diagnose IgG4 non-related systemic multifocal fibrosclerosis and a positive response to steroid treatment. There have been no previous case reports of IgG4 non-related systemic multifocal fibrosclerosis with intracardiac involvement. Here, we report a case of IgG4 non-related systemic multifocal fibrosclerosis mimicking mitral stenosis.
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KEYWORD
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Immunoglobulin G4 Non-Related Sclerosing Disease, Periaortitis, Left Atrium Mass, Mitral Valve Stenosis
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