Cardiac Tamponade as an Initial Manifestation of Diffuse Large B-cell Lymphoma One Year after IgG4-related Disease in Remission
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- Yamaji Soichiro
- Department of Hematology, National Hospital Organization Fukuokahigashi Medical Center, Japan Department of Cardiology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Kamezaki Kenjiro
- Department of Hematology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Shinchi Maroka
- Department of Cardiology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Takizawa Katsumi
- Department of Pathology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Abe Chie
- Department of Pathology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Koike Akihiro
- Department of Cardiology, National Hospital Organization Fukuokahigashi Medical Center, Japan
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- Kuroiwa Mika
- Department of Hematology, National Hospital Organization Fukuokahigashi Medical Center, Japan
抄録
<p>A 65-year-old man with multiple lymphadenopathies was diagnosed with IgG4-related disease (IgG4-RD) based on findings of a cervical lymph node biopsy and an elevated serum IgG4 level. Treatment was initiated after the onset of autoimmune pancreatitis, and he achieved remission. He developed diffuse large B-cell lymphoma one year later. Pericardial involvement of lymphoma resulted in cardiac tamponade, and he died before histopathological confirmation of lymphoma was made due to a lethal arrhythmia caused by massive involvement of lymphoma into the myocardium. Because patients with IgG4-RD might have an increased risk of malignant diseases, including lymphoma, histopathological examinations should be considered at any time during the course of IgG4-RD. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (5), 721-727, 2024-03-01
一般社団法人 日本内科学会