IgG4-related Disease Manifesting as Gastroduodenal Ulcer Diagnosed by an Endoscopic Biopsy.
Adolescent
Adult
Aged
Biopsy
/ methods
Duodenal Ulcer
/ diagnosis
Female
Hemostasis, Endoscopic
/ methods
Humans
Immunoglobulin G
/ blood
Immunoglobulin G4-Related Disease
/ diagnosis
Male
Middle Aged
Peptic Ulcer Hemorrhage
/ diagnosis
Proton Pump Inhibitors
/ therapeutic use
Stomach Ulcer
/ diagnosis
Treatment Outcome
Young Adult
IgG4
IgG4-related disease
duodenal ulcer
gastric ulcer
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Oct 2020
15 Oct 2020
Historique:
pubmed:
26
6
2020
medline:
23
2
2021
entrez:
26
6
2020
Statut:
ppublish
Résumé
A 26-year-old man was admitted to our hospital due to upper abdominal pain. He had previously been diagnosed with gastroduodenal ulcer at 23 and 25 years old and had been treated with proton-pump inhibitors. Endoscopic hemostasis and a biopsy were performed on the hemorrhagic gastroduodenal ulcers. Laboratory and pathologic examinations demonstrated elevated serum IgG4 levels and the infiltration of IgG4-positive plasma cells into the gastroduodenal tissues. Based on the clinicopathologic findings and after excluding other causes, he was diagnosed with IgG4-related gastroduodenal ulcer. We herein report a rare case of IgG4-related disease manifesting as a gastroduodenal ulcer diagnosed by an endoscopic biopsy.
Identifiants
pubmed: 32581158
doi: 10.2169/internalmedicine.4483-20
pmc: PMC7662039
doi:
Substances chimiques
Immunoglobulin G
0
Proton Pump Inhibitors
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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