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KMID : 0882420160900050449
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Korean Journal of Medicine
2016 Volume.90 No. 5 p.449 ~ p.454
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Spontaneously Regressed Immunoglobulin IgG4-related Lung Disease Presenting as Multiple Cavitary Nodules
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박영준:Park Young-Jun
윤태욱:Yoon Tae-Wook/정근용:Jung Geun-Yong/정지환:Jung Jee-Hwan/최준영:Choi Jun-Young/김은주:Kim Eun-Ju/임효정:Lim Hyo-Jeong
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Abstract
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Immunoglobulin (Ig) G4-related disease was recently recognized as a systemic fibro-inflammatory disease characterized by dense lymphoplasmacytic infiltrates, storiform fibrosis, and obliterative phlebitis with IgG4-positive cells in the target tissues. This disease can localize to a single organ or be diffuse in multiple organs. Pulmonary manifestation in IgG4-related lung disease presents as various sized nodules, lung masses, patchy ground-glass opacities, consolidation, thickened bronchovascular bundles, nodular pleural lesions, and interstitial lung disease. Traditional treatment for IgG4-related lung disease includes systemic (cortico) steroids. Here, we report a case of IgG4-related lung disease presenting as multiple cavitary nodules that spontaneously regressed without systemic steroid use.
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KEYWORD
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Immunoglobulin G, Multiple pulmonary nodules, Corticosteroids
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