- 著者
-
Fumiko Tomiyama
Ryu Watanabe
Hiroshi Fujii
Yukiko Kamogawa
Yoko Fujita
Yuko Shirota
Takashi Nakamichi
Hiroshi Sato
Tomonori Ishii
Hideo Harigae
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.54, no.11, pp.1427-1432, 2015 (Released:2015-06-01)
- 参考文献数
- 18
- 被引用文献数
-
6
A 71-year-old man was admitted to our department due to arthralgia and renal dysfunction. A physical examination disclosed swelling of the right shoulder and left wrist joints. Laboratory tests showed elevated serum IgG4 and creatinine levels, and magnetic resonance imaging of the wrist revealed bone erosion and synovitis. In addition, fluorodeoxyglucose positron emission tomography showed uptake in the submandibular glands, pancreas, kidneys, and affected joints and a renal biopsy revealed tubulointerstitial nephritis with the infiltration of IgG4+ plasma cells. The patient was subsequently diagnosed with IgG4-related disease (IgG4-RD) and successfully treated with corticosteroid therapy. This case suggests that erosive arthritis may occur in patients with IgG4-RD.