在免疫球蛋白G4相关疾病的时间周动脉炎
Sho Isoda1, Shogo Shirota2, Tadayuki Hashimoto1
1General Medicine, Osaka Medical and Pharmaceutical University Hospital, Takatsuki, JPN.
Cureus
|September 18, 2025
概括
与免疫球蛋白G4 (IgG4) 相关的动脉炎很少影响动脉. 这一案例突出了涉及动脉的IgG4相关周动脉炎,强调了其在诊断无法解释的发烧方面的重要性.
科学领域:
- 血管医学 血管医学
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 与免疫球蛋白G4 (IgG4) 相关的动脉炎通常会影响大血管,如大动脉和冠状动脉.
- 在IgG4相关的动脉炎中,动脉的参与非常罕见.
研究的目的:
- 报告一种罕见的IgG4相关的围动脉炎,影响动脉.
- 在特定的临床表现中强调IgG4相关动脉炎的诊断考虑.
主要方法:
- 一个79岁的男性患有发烧,腿部疼痛和关节.
- 诊断工作包括体检,动脉超声波和动脉活检.
- 实验室测试包括测量血清IgG4水平.
主要成果:
- 身体检查显示没有右动脉脉动.
- 超声波显示右动脉壁显著加厚.
- 活检证实了Adventitia体内的IgG4阳性血细胞明显透,血清IgG4水平升高.
结论:
- 这一案例证实了IgG4相关的动脉炎/周动脉炎可以在动脉中表现出来.
- 对关节和动脉触摸的评估对于诊断出源不明的发烧至关重要,即使没有头痛.
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