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A masquerading mass: an unusual presentation of IgG4-related systemic disease with tubulointerstitial nephritis.
Quinn, B; Harty, J; Habeichi, W.
Afiliação
  • Quinn B; J Harty Daisy Hill Hospital Renal Unit 5 Hospital Road Newry BT35 8DR County Down Northern Ireland. Email john.harty@southerntrust.hscni.net.
J R Coll Physicians Edinb ; 44(2): 122-5, 2014.
Article em En | MEDLINE | ID: mdl-24999772
ABSTRACT
IgG4 tubulointerstitial nephritis (IgG4-TIN) is the most common form of IgG4 renal disease. When IgG4-TIN is accompanied by other systemic manifestations the disease is known as IgG4-related systemic disease (IgG4-RSD). IgG4-RSD is well recognised in the form of tubulointerstitial nephritis (IgG4-related TIN) and may present with renal failure by mimicking neoplasms (tumefactive lesions) or with both features. We describe a case of IgG4-RSD initially presenting as a submandibular mass and subsequently presenting two years later with secondary infiltration of the kidney causing tubulointerstitial nephritis. This case highlights the importance of recognising IgG4-RSD as a non-malignant disease with presentations having commonly shared features including tumour-like swelling of involved organs and its ability to mimic many systemic diseases. In the majority of patients it can be treated successfully with corticosteroids.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sialadenite / Imunoglobulina G / Nefrite Intersticial Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans / Male / Middle aged Idioma: En Revista: J R Coll Physicians Edinb Assunto da revista: EDUCACAO / HISTORIA DA MEDICINA / MEDICINA Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sialadenite / Imunoglobulina G / Nefrite Intersticial Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans / Male / Middle aged Idioma: En Revista: J R Coll Physicians Edinb Assunto da revista: EDUCACAO / HISTORIA DA MEDICINA / MEDICINA Ano de publicação: 2014 Tipo de documento: Article