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An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
Published on: February 8, 2019
Coronary Arteritis and Periaortitis in IgG4-Related Disease
You-Jun Zhang1, Yang Chen1, Xiaona Zhao1
1Department of Cardiology, Huadong Hospital, Fudan University, 221 West Yanan Road, Shanghai, 200040, China; Shanghai Key Laboratory of Clinical Geriatric Medicine, Shanghai, 200040, China.
Abstract:
We report an interesting case of coronary arteritis and periaortitis in a 62-year-old man with a history of biopsy-proven IgG4-related pulmonary disease. After 2 years of immune-suppressive therapy, the perivascular tissue surrounding all coronary arteries and the abdominal aorta was significantly attenuated, except that the luminal stenosis was aggravated to 70% in the left anterior descending coronary artery. Treatment with aspirin, atorvastatin, and ezetimibe was added. The patient was discharged under strict lesion surveillance at follow-up.
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