在Ig G4相关的甲状腺炎多式成像:病例报告
Lindsay Benites-Yshpilco1, Lucia Barriales-Revilla1, Roberto Baltodano-Arellano2,3
1Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. Hospital Guillermo Almenara Irigoyen - EsSalud Lima Perú.
Archivos peruanos de cardiologia y cirugia cardiovascular
|April 10, 2024
概括
我们描述了一例IgG4相关性主动脉炎病例,该病例在一名56岁的患者身上诊断出发烧和疼痛. 图像检测证实胸前大动脉炎症,该炎症对免疫抑制疗法反应良好.
科学领域:
- 心血管医学 心血管医学
- 免疫学 免疫学 免疫学
- 放射学 放射学是一门学科.
背景情况:
- 源不明的发烧和胸部/腰部疼痛可能表明严重的潜在疾病.
- 大动脉炎,大动脉的炎症,需要及时诊断和管理.
- 与免疫球蛋白G4相关的疾病 (IgG4-RD) 可以影响大型血管,包括大动脉.
研究的目的:
- 为了呈现一种IgG4相关的风病例.
- 为了突出多模式成像在这种情况下的诊断实用性.
- 为了证明免疫抑制疗法的有效性.
主要方法:
- 一个56岁的病人的病例报告.
- 临床表现:发烧,胸部和腰部疼痛.
- 诊断工作:多模式成像 (包括心脏MRI).
- 治疗方法:免疫抑制疗法.
- 后续评估:五个月的心脏MRI.
主要成果:
- 多模式成像显示胸前大动脉中的扩散性围动脉炎.
- 大动脉门没有受到影响.
- 确立了IgG4相关性主脉炎的诊断.
- 在免疫抑制疗法后,心脏MRI显示胸前大动脉炎症在五个月内显著减少.
结论:
- 与IgG4相关的甲状腺炎是一种罕见但重要的原因,导致无法解释的发烧和甲状腺炎.
- 多模式成像对于诊断和监测IgG4相关的关节炎至关重要.
- 免疫抑制疗法在治疗IgG4相关性主脉炎方面是有效的,导致炎症减少.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Imaging Studies for Cardiovascular System IV: CMRI
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Myocarditis II: Clinical Features and Diagnostic Tests
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...


