• J. Korean Med. Sci. · Dec 2013

    Case Reports

    Immunoglobulin g4 non-related sclerosing disease with intracardiac mass mimicking mitral stenosis: case report.

    • Ji-won Hwang, Sung-Ji Park, Hye bin Gwag, Jung Min Ha, Woo Joo Lee, Eun Kim, Sehyo Yune, Jung-Sun Kim, Yang Jin Park, and Duk-Kyung Kim.
    • Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    • J. Korean Med. Sci. 2013 Dec 1; 28 (12): 1830-4.

    AbstractThe cardiovascular system may be one of the target organs of both immunoglobulin G4 related and non-related systemic multifocal fibrosclerosis. We present a case of IgG4 non-related systemic multifocal fibrosclerosis mimicking mitral stenosis on echocardiography. For a more detailed differential diagnosis, we used multimodal imaging techniques. After surgical biopsy around the abdominal aortic area in the retroperitoneum, histological examination revealed IgG4 non-related systemic multifocal fibrosclerosis. We describe the multimodal imaging used to diagnose IgG4 non-related systemic multifocal fibrosclerosis and a positive response to steroid treatment. There have been no previous case reports of IgG4 non-related systemic multifocal fibrosclerosis with intracardiac involvement. Here, we report a case of IgG4 non-related systemic multifocal fibrosclerosis mimicking mitral stenosis.

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