一个不寻常的IgG4相关疾病病例呈现为下肢带炎
Jason Kei Chak Mak1, Louisa Catherine Firmin1, James Roberts1
1Department of Radiology, University College London Hospital, London, UK.
Radiology case reports
|February 27, 2026
概括
与免疫球蛋白G4相关的疾病 (IgG4-RD) 可以影响任何器官. 这一案例突出显示,IgG4-RD以下肢带炎的形式呈现,对免疫抑制疗法反应良好.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种多系统纤维炎症疾病.
- 它可以模仿各种疾病,使得诊断具有挑战性.
- 不寻常的表现需要仔细考虑准确的诊断和治疗.
研究的目的:
- 报告一种罕见的IgG4-RD病例,呈现为双边下肢带炎.
- 强调在无法解释的软组织胀时考虑IgG4-RD的重要性.
- 突出在这种情况下的诊断和治疗方法.
主要方法:
- 一个29岁的男性的病例报告,下肢逐渐胀.
- 细胞炎的初步诊断对抗生素无反应.
- 诊断工作包括横截面成像和深切口活检.
- 治疗涉及类固醇和免疫抑制剂.
主要成果:
- 这名患者出现了双边下肢带炎,最初被误诊为细胞炎.
- 图像检查显示了深层带炎,活检证实了IgG4血细胞透.
- 患者对类固醇和免疫抑制药物治疗表现出极好的临床反应.
结论:
- IgG4-RD可以表现为孤立的下肢带炎.
- 考虑IgG4-RD在长期,不明原因的软组织胀的患者中,即使没有其他器官参与.
- 及时诊断和适当的免疫抑制疗法导致了有利的结果.
关键词:
18F-FDG-PET/CT/CT-FDG-PET/CT/CT-PET/CT/CT-PET/CT/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/CT-PET/PET/CT-PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET/PET有关带炎的疾病与IgG4相关的疾病磁共振成像技术 磁共振成像技术软组织 软组织相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
1.4K
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.4K
Endocarditis II: Clinical Features of Infective Endocarditis
634
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
634
Myocarditis II: Clinical Features and Diagnostic Tests
385
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...
385
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
531
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
531


