A Case of Immunoglobulin G4 (IgG4)-Related Disease Diagnosed by Transbronchial Lung Biopsy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration

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  • ISHIMOTO Hiroshi
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • YATERA Kazuhiro
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • SHIMABUKURO Ikuko
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • MATSUKI Yasumasa
    Department of Pathology and Cell Biology, School of Medicine, University of Occupational and Environmental Health, Japan
  • HANAKA Tetsuya
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • ODA Keishi
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • KAWANAMI Toshinori
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan
  • MUKAE Hiroshi
    Department of Respiratory Medicine, School of Medicine University of Occupational and Environmental Health, Japan

Bibliographic Information

Other Title
  • 超音波内視鏡ガイド下縦隔リンパ節針生検で診断したImmunoglobulin G4（IgG4） 関連疾患の1例

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Abstract

A 62-year-old Japanese man was admitted to our hospital for evaluation of bilateral chest abnormal shadow.His lacrimal, submandibular and parotid glands had been swollen for several years. His serum immunoglobulin G4 (IgG4) level was >1,500 mg/dl, and chest computed tomography showed bilateral reticular opacities with enlarged mediastinal lymph nodes. Transbronchial lung biopsy and endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) results suggested IgG4-related disease. This is the first report, to our knowledge, in the English literature showing EBUS-TBNA to be useful for diagnosing IgG4-related disease.

Journal

  • Journal of UOEH

    Journal of UOEH 36 (4), 237-242, 2014

    The University of Occupational and Environmental Health, Japan

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