A Case of Constrictive Pericarditis due to Immunoglobulin G4-Related Disease
Jiwon Seo ; In Ji Song ; Sung Ha Park ; Beom Seok Koh ; Hye Min Kim ; Hyeon Joo Jeong ; Sak Lee
Korean Circulation Journal (순환기), Vol.45(2) : 161~164, 2015
Korean Circulation Journal (순환기)
Immunoglobulin G4-related disease (IgG4-RD) can involve any organ. The majority of reported cases involve IgG4-RD of the biliary tract or pancreas, while only two cases of pericarditis have been reported. A 58-year-old man visited the outpatient clinic of our institution with a seven-day history of progressive dyspnea. Based on his transthoracic echocardiogram and transesophageal echocardiogram, he was diagnosed with constrictive pericarditis. The histopathology of his pericardiectomy revealed the cause of constrictive pericarditis to be IgG4-RD. Prednisolone (40 mg) was initiated after the pericardiectomy. As the patient's symptoms resolved, he was discharged and followed-up on an outpatient basis. This is the first case report of constrictive pericarditis caused by IgG4-RD in Korea.