دورية أكاديمية

A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis.

التفاصيل البيبلوغرافية
العنوان: A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis.
المؤلفون: Kawano, Mitsuhiro, Yamada, Kazunori, Kakuchi, Yasushi, Ito, Kiyoaki, Hamano, Ryoko, Fujii, Hiroshi, Inoue, Ryo, Matsumura, Masami, Takahira, Masayuki, Zen, Yoh, Yachie, Akihiro, Nakashima, Akikatsu, Yamagishi, Masakazu
المصدر: Modern Rheumatology; Feb2009, Vol. 19 Issue 1, p87-90, 4p, 2 Color Photographs
مصطلحات موضوعية: IMMUNOGLOBULINS, IMMUNE complexes, LYMPHOID tissue, MYCOBACTERIAL diseases, TUBERCULOSIS, EDEMA, BIOPSY
مستخلص: We describe a 64-year-old woman with chronic sclerosing sialadenitis and dacryoadenitis, which developed during treatment for cervical lymph node tuberculosis. Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gland showed inflammation, with abundant lymphoid follicles with fibrosis and granuloma without caseous necrosis. Immunohistological examination of a repeat biopsy specimen showed abundant immunoglobulin (Ig) G4-positive plasma cell infiltration. Corticosteroid therapy improved the salivary gland swelling without reactivation of the tuberculosis. This case suggests that an abnormal immunological reaction to tuberculosis may be one of the etiological candidates for IgG4-related disease. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:14397595
DOI:10.3109/s10165-008-0127-z