ArticleInflammatory intestinal diseases
A Rare Case of Gastritis with Prominent IgG4-Positive Plasmacytosis Mimicking IgG4-Related Gastrointestinal Disease.
Article in Inflammatory intestinal diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: IgG4-related disease (IgG4-RD) is a systemic fibroinflammatory condition characterized by dense infiltration of IgG4-positive plasma cells across multiple organs, with well-established comprehensive diagnostic criteria and organ-specific criteria. However, diagnostic standards for IgG4-related disease involving the digestive tract remain relatively new and less clearly defined. We report a case suspicious for IgG4-related gastrointestinal disease (IgG4-GID). Although a definitive diagnosis could not be established, the clinical course of the patient and our assessment based on the most up-to-date evidence warrant attention. Case Presentation: A 40-year-old man was referred to our hospital after esophagogastroduodenoscopy revealed irregular nodules in the gastric mucosa, raising the suspicion of scirrhous-type gastric cancer. He had no significant medical history and had undergone successful eradication of Conclusion: This case highlights the diagnostic challenges of IgG4-rich gastric lesions and underscores the importance of distinguishing them from IgG4-GID and MALT lymphoma. When a definitive diagnosis cannot be established, careful long-term follow-up is warranted.
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