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KMID : 1161920140110020144
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Journal of Medicine and Life Science
2014 Volume.11 No. 2 p.144 ~ p.147
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Presumed IgG4-Related Disease Presented as Coronary Periateritis: A Case Report Showing Dramatic Response to Steroid Therapy
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Kim Jeong-Jae
Kim Song-Yi
Jeong Sun-Young
Kim Seung-Hyung
Hwang Im-Kyung
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Abstract
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A 54-year-old man underwent a coronary computed tomographic (CT) angiogram for a health check-up, and a soft tissue mass surrounding the right coronary artery was observed in the right atrioventricular groove. Moderate degree of multifocal stenoses were also noted in the left coronary artery. The serum concentration of immunoglobulin G4 was significantly increased at 1569 mg/dl. In suspicion of IgG4-related periarteritis, he was treated with steroids. Two months after steroid therapy, coronary CT angiography revealed interval improvement of coronary periarteritis.
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KEYWORD
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IgG4-related disease, coronary artery, periarteritis, steroids
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