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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 61-Year-Old Man With a Lung Nodule and Elevated Serum IgG

Takeo Iwasaki, MD; Isao Tachibana, MD, PhD; Shigeyuki Yoshida, MD, PhD; Kohki Shimazu, MD, PhD; Yutaka Takeda, MD, PhD; Hiroaki Nagano, MD, PhD; Ichiro Kawase, MD, PhD
Author and Funding Information

From the Department of Respiratory Medicine, Allergy, and Rheumatic Diseases (Drs Iwasaki, Tachibana, and Kawase), the Department of Radiology (Dr Yoshida), the Department of Pathology (Dr Shimazu), and the Department of Gastroenterological Surgery (Drs Takeda and Nagano), Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Correspondence to: Isao Tachibana, MD, PhD, Department of Respiratory Medicine, Allergy, and Rheumatic Diseases, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan; e-mail: itachi02@imed3.med.osaka-u.ac.jp


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(5):1232-1235. doi:10.1378/chest.09-1986
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Extract

A 61-year-old man was referred to our hospital after he was evaluated with a chest radiograph in a routine health examination. His chest radiograph revealed a nodule in the right upper lung. The patient was a lifetime nonsmoker and had no complaints. In the previous medical history, he had a surgical repair of an inguinal hernia at the age of 60.

YoshidaKTokiFTakeuchiTWatanabeSShiratoriKHayashiNChronic pancreatitis caused by an autoimmune abnormality. Proposal of the concept of autoimmune pancreatitisDig Dis Sci199540715611568OzdenIDizdaroğluFPoyanliAEmreASpontaneous regression of a pancreatic head mass and biliary obstruction due to autoimmune pancreatitisPancreatology200552-3300303ZenYKitagawaSMinatoHIgG4-positive plasma cells in inflammatory pseudotumor (plasma cell granuloma) of the lungHum Pathol2005367710717NeildGHRodriguez-JustoMWallCConnollyJOHyper-IgG4 disease: report and characterisation of a new diseaseBMC Med2006423GhazaleAChariSTSmyrkTCValue of serum IgG4 in the diagnosis of autoimmune pancreatitis and in distinguishing it from pancreatic cancerAm J Gastroenterol2007102816461653NakajoMJinnouchiSFukukuraYTanabeHTatenoRNakajoMThe efficacy of whole-body FDG-PET or PET/CT for autoimmune pancreatitis and associated extrapancreatic autoimmune lesionsEur J Nucl Med Mol Imaging2007341220882095TakahashiNKawashimaAFletcherJGChariSTRenal involvement in patients with autoimmune pancreatitis: CT and MR imaging findingsRadiology20072423791801KamisawaTOkamotoAIgG4-related sclerosing diseaseWorld J Gastroenterol2008142539483955OkazakiKUchidaKFukuiTRecent advances in autoimmune pancreatitis: concept, diagnosis, and pathogenesisJ Gastroenterol2008436409418TakahashiNGhazaleAHSmyrkTCMandrekarJNChariSTPossible association between IgG4-associated systemic disease with or without autoimmune pancreatitis and non-Hodgkin lymphomaPancreas2009385523526

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