Clinical Case Reports (Jan 2024)

A rare case: IgG4‐related chronic inflammatory disease with kidney involvement

  • Fatos Mete,
  • Tuba Mengeneci,
  • Emre Albayrak,
  • Yavuz Ayar,
  • Melike Nalbant,
  • Ilknur Ozudeniz Mutlucan,
  • Zeliha Fusun Baba

DOI
https://doi.org/10.1002/ccr3.8164
Journal volume & issue
Vol. 12, no. 1
pp. n/a – n/a

Abstract

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Abstract IgG4‐related disease is an inflammatory, multisystemic disease that affects the immune system. The disease progresses to fibrosis due to inflammation. Retroperitoneal fibrosis is a serious complication. Pancreas, biliary tract, glands, thyroid, lymph nodes, etc. may be involved. Prognosis is usually subacute, and seen in middle age and advanced men. It is characterized histopathologically by IgG4 positive plasma cells, lymphoplasmocytic cell infiltration, and storiform fibrosis. In our case, we evaluated a patient who referred to our clinic from an external center with the complaints of generalized pain, itching, tearing and redness in eyes, involvement of bilateral large joints, and impaired renal function. Diagnosis, treatment and management of the disease are important. Response to glucocorticoid therapy is good.

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