A case of IgG4-related pulmonary disease with rapid improvement

Mod Rheumatol. 2012 Nov;22(6):919-23. doi: 10.1007/s10165-012-0600-6. Epub 2012 Feb 5.

Abstract

We report a 72-year-old man with respiratory involvement of immunoglobulin G4 (IgG4)-related disease, who developed dry cough and shortness of breath on effort. The chest computed tomography scan image showed massive and diffuse ground-glass opacity, interlobular thickening, and bronchial wall thickening. The infiltration of IgG4-positive plasma cells in the transbronchial lung biopsy and high serum IgG4 concentrations were found. The patient was treated with 0.6 mg/kg oral prednisolone and showed rapid improvement. This is a case of IgG4-related disease in which the only complication was respiratory involvement.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Bronchi / immunology
  • Humans
  • Immunoglobulin G / blood*
  • Immunosuppressive Agents / therapeutic use*
  • Lung Diseases / blood
  • Lung Diseases / drug therapy
  • Lung Diseases / immunology*
  • Male
  • Prednisolone / therapeutic use*
  • Treatment Outcome

Substances

  • Immunoglobulin G
  • Immunosuppressive Agents
  • Prednisolone