Radiological findings and clinical features of thoracic immunoglobulin G4-positive plasma cell granuloma: two cases

Br J Radiol. 2010 Jul;83(991):e150-3. doi: 10.1259/bjr/77516426.

Abstract

Plasma cell granulomas, inflammatory pseudotumours and myofibroblastomas are synonymous with characteristic plasma cell infiltration in various body organs including the pancreas, liver, retroperitoneum and mediastinal structures causing idiopathic fibrosclerosis. Recently, a new concept has arisen regarding the relationship between immunoglobulin (Ig)G4-positive cell infiltration and idiopathic systemic fibrosclerosis. We report two cases showing IgG4-positive cell infiltration in the lung presenting as lung nodules with or without extrapulmonary manifestations.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy / methods
  • Diagnosis, Differential
  • Female
  • Granuloma, Plasma Cell* / diagnostic imaging
  • Granuloma, Plasma Cell* / pathology
  • Humans
  • Immunoglobulin G / blood*
  • Lung / diagnostic imaging
  • Lung / pathology*
  • Lung Diseases* / diagnostic imaging
  • Lung Diseases* / pathology
  • Male
  • Middle Aged
  • Sclerosis
  • Tomography, X-Ray Computed / methods

Substances

  • Immunoglobulin G