Remission of "mistletoe sign" after treatment

J Cardiovasc Comput Tomogr. 2020 Nov-Dec;14(6):e118-e119. doi: 10.1016/j.jcct.2019.08.002. Epub 2019 Aug 7.

Abstract

We described a 55-year-old man, in whom the first manifestation of retroperitoneal fibrosis (RPF) was only coronary arterial involvement, which had no periaortic or peri-iliac and urinary system retroperitoneum involvement in general and other systemic clinical manifestations. Coronary manifestation was called "mistletoe sign" on the images. Here, we report a case of IgG4-related RPF remission that was only coronary arterial involvement after treatment.

Keywords: IgG4-related disease; Mistletoe sign; Remission; Retroperitoneal fibrosis.

Publication types

  • Case Reports

MeSH terms

  • Angina, Unstable / diagnostic imaging*
  • Computed Tomography Angiography*
  • Coronary Angiography*
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Artery Disease / etiology
  • Coronary Vessels / diagnostic imaging*
  • Humans
  • Immunoglobulin G4-Related Disease / complications
  • Immunoglobulin G4-Related Disease / diagnostic imaging*
  • Immunoglobulin G4-Related Disease / drug therapy
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Remission Induction
  • Retroperitoneal Fibrosis / complications
  • Retroperitoneal Fibrosis / diagnostic imaging*
  • Retroperitoneal Fibrosis / drug therapy
  • Treatment Outcome

Substances

  • Immunosuppressive Agents