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A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis
We describe a 64-year-old woman with chronic sclerosing sialadenitis and dacryoadenitis, which developed during treatment for cervical lymph node tuberculosis. Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gla...
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| Published in: | Modern rheumatology 2009, Vol.19 (1), p.87-90 |
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| Main Authors: | , , , , , , , , , , , , |
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| container_end_page | 90 |
| container_issue | 1 |
| container_start_page | 87 |
| container_title | Modern rheumatology |
| container_volume | 19 |
| creator | Kawano, Mitsuhiro Yamada, Kazunori Kakuchi, Yasushi Ito, Kiyoaki Hamano, Ryoko Fujii, Hiroshi Inoue, Ryo Matsumura, Masami Takahira, Masayuki Zen, Yoh Yachie, Akihiro Nakashima, Akikatsu Yamagishi, Masakazu |
| description | We describe a 64-year-old woman with chronic sclerosing sialadenitis and dacryoadenitis, which developed during treatment for cervical lymph node tuberculosis. Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gland showed inflammation, with abundant lymphoid follicles with fibrosis and granuloma without caseous necrosis. Immunohistological examination of a repeat biopsy specimen showed abundant immunoglobulin (Ig) G4-positive plasma cell infiltration. Corticosteroid therapy improved the salivary gland swelling without reactivation of the tuberculosis. This case suggests that an abnormal immunological reaction to tuberculosis may be one of the etiological candidates for IgG4-related disease. |
| doi_str_mv | 10.1007/s10165-008-0127-z |
| format | article |
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Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gland showed inflammation, with abundant lymphoid follicles with fibrosis and granuloma without caseous necrosis. Immunohistological examination of a repeat biopsy specimen showed abundant immunoglobulin (Ig) G4-positive plasma cell infiltration. Corticosteroid therapy improved the salivary gland swelling without reactivation of the tuberculosis. This case suggests that an abnormal immunological reaction to tuberculosis may be one of the etiological candidates for IgG4-related disease.</description><identifier>ISSN: 1439-7595</identifier><identifier>EISSN: 1439-7609</identifier><identifier>DOI: 10.1007/s10165-008-0127-z</identifier><identifier>PMID: 18855098</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Antibodies, Bacterial - analysis ; Biopsy ; Case Report ; Case studies ; Dacryocystitis - complications ; Dacryocystitis - diagnosis ; Dacryocystitis - metabolism ; Diagnosis, Differential ; DNA, Bacterial - analysis ; Female ; Histology ; Humans ; Immunoglobulin G - metabolism ; Immunology ; Lacrimal Apparatus - microbiology ; Lacrimal Apparatus - pathology ; Medicine ; Medicine & Public Health ; Middle Aged ; Mycobacterium ; Mycobacterium tuberculosis - genetics ; Mycobacterium tuberculosis - immunology ; Mycobacterium tuberculosis - isolation & purification ; Orthopedics ; Rheumatology ; Sclerosis - pathology ; Sialadenitis - complications ; Sialadenitis - diagnosis ; Sialadenitis - metabolism ; Tomography, X-Ray Computed ; Tuberculosis ; Tuberculosis, Ocular - complications ; Tuberculosis, Ocular - diagnosis ; Tuberculosis, Ocular - metabolism ; Tuberculosis, Oral - complications ; Tuberculosis, Oral - diagnosis ; Tuberculosis, Oral - metabolism</subject><ispartof>Modern rheumatology, 2009, Vol.19 (1), p.87-90</ispartof><rights>Japan College of Rheumatology 2008</rights><rights>Japan College of Rheumatology 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18855098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawano, Mitsuhiro</creatorcontrib><creatorcontrib>Yamada, Kazunori</creatorcontrib><creatorcontrib>Kakuchi, Yasushi</creatorcontrib><creatorcontrib>Ito, Kiyoaki</creatorcontrib><creatorcontrib>Hamano, Ryoko</creatorcontrib><creatorcontrib>Fujii, Hiroshi</creatorcontrib><creatorcontrib>Inoue, Ryo</creatorcontrib><creatorcontrib>Matsumura, Masami</creatorcontrib><creatorcontrib>Takahira, Masayuki</creatorcontrib><creatorcontrib>Zen, Yoh</creatorcontrib><creatorcontrib>Yachie, Akihiro</creatorcontrib><creatorcontrib>Nakashima, Akikatsu</creatorcontrib><creatorcontrib>Yamagishi, Masakazu</creatorcontrib><title>A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis</title><title>Modern rheumatology</title><addtitle>Mod Rheumatol</addtitle><addtitle>Mod Rheumatol</addtitle><description>We describe a 64-year-old woman with chronic sclerosing sialadenitis and dacryoadenitis, which developed during treatment for cervical lymph node tuberculosis. Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gland showed inflammation, with abundant lymphoid follicles with fibrosis and granuloma without caseous necrosis. Immunohistological examination of a repeat biopsy specimen showed abundant immunoglobulin (Ig) G4-positive plasma cell infiltration. Corticosteroid therapy improved the salivary gland swelling without reactivation of the tuberculosis. This case suggests that an abnormal immunological reaction to tuberculosis may be one of the etiological candidates for IgG4-related disease.</description><subject>Antibodies, Bacterial - analysis</subject><subject>Biopsy</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Dacryocystitis - complications</subject><subject>Dacryocystitis - diagnosis</subject><subject>Dacryocystitis - metabolism</subject><subject>Diagnosis, Differential</subject><subject>DNA, Bacterial - analysis</subject><subject>Female</subject><subject>Histology</subject><subject>Humans</subject><subject>Immunoglobulin G - metabolism</subject><subject>Immunology</subject><subject>Lacrimal Apparatus - microbiology</subject><subject>Lacrimal Apparatus - pathology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Mycobacterium tuberculosis - genetics</subject><subject>Mycobacterium tuberculosis - immunology</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Orthopedics</subject><subject>Rheumatology</subject><subject>Sclerosis - pathology</subject><subject>Sialadenitis - complications</subject><subject>Sialadenitis - diagnosis</subject><subject>Sialadenitis - metabolism</subject><subject>Tomography, X-Ray Computed</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Ocular - complications</subject><subject>Tuberculosis, Ocular - diagnosis</subject><subject>Tuberculosis, Ocular - metabolism</subject><subject>Tuberculosis, Oral - complications</subject><subject>Tuberculosis, Oral - diagnosis</subject><subject>Tuberculosis, Oral - metabolism</subject><issn>1439-7595</issn><issn>1439-7609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqFkc1uFTEMhSMEoj_wAGxQxILdgDNJJsmyqqBFqsQG1lEm8dymyiSXZEaofXrmcltVYsPKlv0dW_Yh5B2DTwxAfW4M2CA7AN0B61X38IKcMsFNpwYwL59yaeQJOWvtDoBLo81rcsK0lhKMPiXtgnrXkJaJxnlec9mlMq4pZnoluorJLRiov60lR0-bT1hLi3lHW3TJBcxxiY26HGhwvt6X51Jrxce_6t9xuaXLOmL1a9rU7Q15NbnU8O1jPCc_v375cXnd3Xy_-nZ5cdPtOYOlM07BxDwLgXszBWRmYF5NvREIENBpo8UoJ4EqmIBcCS97PXCmtOBhRMHPycfj3H0tv1Zsi51j85iSy1jWZofBAAeh_wv2INggpNnAD_-Ad2WteTvC9rxXQqv-sPb9I7SOMwa7r3F29d4-PX0D-iPQtlbeYX2ewsAenLVHZ-3mrD04ax_4H7ZTlfg</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Kawano, Mitsuhiro</creator><creator>Yamada, Kazunori</creator><creator>Kakuchi, Yasushi</creator><creator>Ito, Kiyoaki</creator><creator>Hamano, Ryoko</creator><creator>Fujii, Hiroshi</creator><creator>Inoue, Ryo</creator><creator>Matsumura, Masami</creator><creator>Takahira, Masayuki</creator><creator>Zen, Yoh</creator><creator>Yachie, Akihiro</creator><creator>Nakashima, Akikatsu</creator><creator>Yamagishi, Masakazu</creator><general>Springer Japan</general><general>Informa Healthcare</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QL</scope><scope>7T5</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis</title><author>Kawano, Mitsuhiro ; Yamada, Kazunori ; Kakuchi, Yasushi ; Ito, Kiyoaki ; Hamano, Ryoko ; Fujii, Hiroshi ; Inoue, Ryo ; Matsumura, Masami ; Takahira, Masayuki ; Zen, Yoh ; Yachie, Akihiro ; Nakashima, Akikatsu ; Yamagishi, Masakazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p310t-9a70f1c1dd3c9fde1961c7f294e00dea8984b5f4e7d9de374c5286317843dbe43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Antibodies, Bacterial - 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Academic</collection><jtitle>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawano, Mitsuhiro</au><au>Yamada, Kazunori</au><au>Kakuchi, Yasushi</au><au>Ito, Kiyoaki</au><au>Hamano, Ryoko</au><au>Fujii, Hiroshi</au><au>Inoue, Ryo</au><au>Matsumura, Masami</au><au>Takahira, Masayuki</au><au>Zen, Yoh</au><au>Yachie, Akihiro</au><au>Nakashima, Akikatsu</au><au>Yamagishi, Masakazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis</atitle><jtitle>Modern rheumatology</jtitle><stitle>Mod Rheumatol</stitle><addtitle>Mod Rheumatol</addtitle><date>2009</date><risdate>2009</risdate><volume>19</volume><issue>1</issue><spage>87</spage><epage>90</epage><pages>87-90</pages><issn>1439-7595</issn><eissn>1439-7609</eissn><abstract>We describe a 64-year-old woman with chronic sclerosing sialadenitis and dacryoadenitis, which developed during treatment for cervical lymph node tuberculosis. Anti-tuberculosis treatment did not improve the swelling in the lacrimal and submandibular glands, and a biopsy specimen of the lacrimal gland showed inflammation, with abundant lymphoid follicles with fibrosis and granuloma without caseous necrosis. Immunohistological examination of a repeat biopsy specimen showed abundant immunoglobulin (Ig) G4-positive plasma cell infiltration. Corticosteroid therapy improved the salivary gland swelling without reactivation of the tuberculosis. This case suggests that an abnormal immunological reaction to tuberculosis may be one of the etiological candidates for IgG4-related disease.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18855098</pmid><doi>10.1007/s10165-008-0127-z</doi><tpages>4</tpages></addata></record> |
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| ispartof | Modern rheumatology, 2009, Vol.19 (1), p.87-90 |
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| source | Oxford Journals Online |
| subjects | Antibodies, Bacterial - analysis Biopsy Case Report Case studies Dacryocystitis - complications Dacryocystitis - diagnosis Dacryocystitis - metabolism Diagnosis, Differential DNA, Bacterial - analysis Female Histology Humans Immunoglobulin G - metabolism Immunology Lacrimal Apparatus - microbiology Lacrimal Apparatus - pathology Medicine Medicine & Public Health Middle Aged Mycobacterium Mycobacterium tuberculosis - genetics Mycobacterium tuberculosis - immunology Mycobacterium tuberculosis - isolation & purification Orthopedics Rheumatology Sclerosis - pathology Sialadenitis - complications Sialadenitis - diagnosis Sialadenitis - metabolism Tomography, X-Ray Computed Tuberculosis Tuberculosis, Ocular - complications Tuberculosis, Ocular - diagnosis Tuberculosis, Ocular - metabolism Tuberculosis, Oral - complications Tuberculosis, Oral - diagnosis Tuberculosis, Oral - metabolism |
| title | A case of immunoglobulin G4-related chronic sclerosing sialadenitis and dacryoadenitis associated with tuberculosis |
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