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Case No. 337
2014-05-01~2014-05-31
출제자 : 안성수
Hit : 342
| Period | 2014-05-01~2014-05-31 |
|---|---|
| Diagnosis | IgG4-related disease |
| Clinical information | F/72 CC: Palpable neck mass |
| Discussion | .Imaging findings - Solid mass in the right submandibular gland - Enlarged bilateral lacrimal glands and parotid glands - Infiltrative lesions around the bilateral ureter and renal pelvis < IgG4-related disease> • Lymphoplasmacytic tissue infiltration with a predominance of IgG4-positive plasma cells and T lymphocytes • Usually accompanied by fibrosis, obliterative phlebitis, and elevated serum levels of IgG4 Only 40% pts -normal serum IgG4 • Subacute development of a mass in the affected organ or diffuse enlargement of an organ |
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