First report of IgG4 related disease primary presenting as vertebral bone marrow lesions
Publication date
2019-01-01
Authors
van den Elshout-Den Uyl, Debby
Spoto, Clothaire
de Boer, M. G. J.
Leiner, Tim
Leavis, Helen
Leguit, Roos J
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Article
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Abstract
IgG4-related disease is a fibro-inflammatory disorder characterized by swelling of tissues and affected organs accompanied by the development of scar tissue (fibrosis) and infiltration by IgG4 positive plasma cells. Almost any organ can be affected, including, but rarely, bone marrowinvolvement. Here we present a case of a 76-year-old male with IgG4-related disease presenting primarily with vertebral bone marrow lesions. Histopathology showed the typical features of storiform fibrosis, and increased IgG4 positive plasma cells. Treatment with corticosteroids significantly improved wellbeing and resolved lesion size on MRI.
Keywords
Bone marrow, Histology, IgG4-related disease, Immunhistochemistry, MRI, Plasma cell, Spine, Vertebra, Immunology and Allergy, Immunology, Case Reports
Citation
van den Elshout-Den Uyl, D, Spoto, C P E, de Boer, M, Leiner, T, Leavis, H L & Leguit, R J 2019, 'First report of IgG4 related disease primary presenting as vertebral bone marrow lesions', Frontiers in Immunology, vol. 10, no. AUG, 1910. https://doi.org/10.3389/fimmu.2019.01910