Fumiaki Nakashima, Tsukasa Watanabe, Yoshiyuki Tomiyoshi, Kazuhisa Ejima, Takateru Ootsuka, Junichi Nojiri, Kazuma Fujimoto, Yoshitaka Hirooka
IgG4-related disease may cause large vessel vasculitis, which often affects males in their 60s. Here, we report a case of suspected IgG4-related periaortitis in a 76-year-old man with lower left-side chest pain and hypertension based on computed tomography findings of thickened lesions surrounding the abdominal aorta and mesenteric arteries after ruling out acute cardiovascular diseases. His serum IgG4 levels were high, but the C-reactive protein and D-dimer levels were within normal limits. Because IgG4-related periaortitis was suspected, the patient was carefully monitored for blood pressure control, inflammatory markers, and renal function...
March 31, 2023: International Heart Journal