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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(3)

Two cases of IgG4-related disease accompanied by many cerebral microbleeds and a review of the literature : can IgG4-related disease cause cerebral small vessel vasculitis/vasculopathy?

https://doi.org/10.18999/nagjms.83.3.649
https://doi.org/10.18999/nagjms.83.3.649
de7027cc-ff87-47f8-861c-732c09322795
名前 / ファイル ライセンス アクション
20_Ukai.pdf 20_Ukai.pdf (981 KB)
Item type itemtype_ver1(1)
公開日 2021-09-16
タイトル
タイトル Two cases of IgG4-related disease accompanied by many cerebral microbleeds and a review of the literature : can IgG4-related disease cause cerebral small vessel vasculitis/vasculopathy?
言語 en
著者 Ukai, Katsuyuki

× Ukai, Katsuyuki

en Ukai, Katsuyuki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 cerebral microbleeds
キーワード
主題Scheme Other
主題 cerebral small vessel vasculitis
キーワード
主題Scheme Other
主題 IgG4-related disease
キーワード
主題Scheme Other
主題 T2* imaging
キーワード
主題Scheme Other
主題 treatable dementia
内容記述
内容記述 IgG4-related disease (IgG4-RD) is a condition of unknown cause, which involves marked tissue infiltration by IgG4-positive plasma cells into various organs throughout the body. Histopathological examinations based on biopsy examinations are essential for obtaining a definitive clinical diagnosis of IgG4-RD. However, there are only a limited number of organs from which biopsy samples can be easily obtained. Furthermore, it is impossible even for recently developed imaging techniques to directly detect abnormalities affecting small organs, such as the cerebral small vessel system. Due to these limitations, the clinical diagnosis of so-called “IgG4-related cerebral small vessel vasculitis/vasculopathy” is very difficult. In this report, two cases of IgG4-RD involving elderly patients are presented, together with their cranial magnetic resonance imaging features, especially those seen on T2* imaging. Both patients exhibited many cerebral microbleeds (CMB) on T2* imaging. I consider that it is possible to indirectly detect abnormali- ties of the small cerebral vessels by searching for CMB because they are caused by the failure of small cerebral vessels. Of course, the fact that many CMB were seen in both cases might be considered to be a coincidence. However, the chances of this are low because a rapid increase in the number of CMB, as was seen in case 1, and the occurrence of so many CMB, as was seen in case 2, are rare. Based on my clinical experiences and the detailed findings of the IgG4-RD cases described in this report, I present the hypothesis that “IgG4-related cerebral small vessel vasculitis/vasculopathy” exists.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.3.649
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/833.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 3, p. 649-654, 発行日 2021-08
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