From the Department of Medicine, Bassett Medical Center.
Correspondence to: Wisit Cheungpasitporn, MD, 1 Atwell Rd, Cooperstown, NY 13326; e-mail: firstname.lastname@example.org
Financial/nonfinancial disclosures: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
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We read with interest the recent article in CHEST (November 2012) by Rho et al.1 The authors presented an interesting case of IgG4-related sclerosing disease.
We were wondering whether there was any significant lymphadenopathy. Asymptomatic IgG4-related lymphadenopathy is common, occurring in 80% of patients with autoimmune pancreatitis.2 Cough and dyspnea could be clinical manifestations of pulmonary sarcoidosis. Also, lymphadenopathy and pulmonary nodules are common in sarcoidosis. Interestingly, there was a biopsy specimen-proven report of the association between IgG4-related disease and sarcoidosis.3 This association is fascinating and we may have overlooked the diagnosis of IgG4-related sclerosing disease in the past in patients with or without sarcoidosis.
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