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His serum creatinine (Scr) level had gradually increased from 0.9 mg/dL to 5.6 mg/dL over 18 months. Renal biopsy showed marked IgG4-positive plasma cell infiltration in the interstitium without glomerular abnormalities and IgG4-related TIN was diagnosed. Oral prednisolone reduced his Scr and IgG4 levels immediately. The present case indicates that IgG4-related TIN can not only progress rapidly but also chronically over a long period without significant urinary abnormalities, and we should consider hidden IgG4-related TIN in cases of chronic renal insufficiency.<br>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679848072069","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000020406111"}],"foaf:name":[{"@language":"en","@value":"Tsubata Yutaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Internal Medicine, Niigata Prefectural Central 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