Lymphadenopathy related to IgG4 disease
DOI:
https://doi.org/10.32818/reccmi.a4n1a10Keywords:
lymphadenopathy, immunoglobulin IgG4, IgG4-related disease.Abstract
We present the case of a 49 year old man without previous diseases but toxic habits, who consulted to our Inter- nal Medicine Outpatient department due to the presence of mild fever and painfull axillar lymphadenopathies lasting for 7 months, with no other accompanying symptoms. Image tests (echography and body-scan) con- firmed the presence of multiple pathologic size axillary and inguinal lymphadenopathies, being transferred to surgery to proceed with lymphadenectomy. Anatomopathological lymphadenopathy study showed plasmatic cells with predominance of IgG4, with a IgG4/IgG ratio > 0.4. Analytic study was unremarkable, except for a mild IgG4 elevated value. Corticosteroid therapy is started, achieving complete resolution.
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Copyright (c) 2019 Sara Pérez-Moyano, Alberto Benavente-Fernández, Beatriz Rueda-Villafranca
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