Article citationsMore>>

H. Hamano, S. Kawa, A. Horiuchi, H. Unno, N. Furuya, T. Akamatsu, et al., “High Serum IgG4 Concentrations in Patients with Sclerosing Pancreatitis,” New England Journal of Medicine, Vol. 344, No. 10, 2001, pp. 732-738. doi:10.1056/NEJM200103083441005

has been cited by the following article:

• TITLE: Silent Contained Rupture of an Inflammatory IgG4-Related Abdominal Aortic Aneurysm

  AUTHORS: Elpiniki Tsolaki, Francesca Papadopulos, Vincenzo Gasbarro, Pierfilippo Acciarri, Francesco Mascoli

  KEYWORDS: Inflammatory Aortic Aneurysm; IgG4-Related Systemic Disease

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.3 No.4, August 28, 2013

  ABSTRACT: This report describes a case of a 66-year-old male patient with accidental diagnosis of chronic contained rupture of an aortic aneurysm. Surgery was performed through a median laparotomy. A thick periaortic tissue with fibrosis and lymphnodes covered the AAA. Immunohistochemical examination of the aneurismatic aortic wall revealed intense positivity for inflammatory markers and a large number of immunoglobulin G4 (IgG4) positive cells. The postoperative course was uneventful and patient was discharged in the fifth postoperative day. Patient was then followed periodically at the outpatient rheumatologic clinic. No adverse events occurred during 3 and 6 months follow up. Conclusion: Identification of IgG4-inflammatory aneurysms as an expression of the IgG4-related systemic disease is essential both for clinical follow up and surgical and pharmacological treatment considering the possibility of aneurysm rupture and the involvement of other organs.