The histopathological features of IgG4-related coronary arteritis involve a large number of IgG4-positive plasma cell infiltrates in the tissues of the coronary adventitia, causing adventitia fibrosis and diffuse enlargement, forming a boudoir mass around the coronary artery with neoplastic thickening of the artery wall. CT angiography of the coronary artery shows the thickening of the coronary vessel wall and the mistletoe sign formed by the surrounding tumor-like mass which are the characteristic manifestations of this disease. This article expounds on IgG4-related coronary arteritis and explains its pathogenesis, imaging features and diagnostic criteria.
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Progress in the diagnosis of immunoglobulin G4-related coronary arteritis
Published on Sep. 18, 2021Total Views: 4300 timesTotal Downloads: 2635 timesDownloadMobile
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1. Kawa S. Immunoglobulin G4-related disease: an overview[J]. JMJ J, 2019, 2(1): 11-27. DOI: 10.31662/jmaj.2018-0017.
2. Kamisawa T, Funata N, Hayashi Y, et al. A new clinicopathological entity of IgG4-related autoimmune disease[J]. J Gastroenterol, 2003, 38(10): 982-984. DOI: 10.1007/s00535-003-1175-y.
3. Takahashi H, Yamamoto M, Suzuki C, et al. The birthday of a new syndrome: IgG4-related disease constitute a clinical entity[J]. Immunol Rev, 2010, 9(9): 591-594. DOI: 10.1016/j.autrev.2010.05.003.
4. Stone JH, Khosroshahi A, Deshpande V, et al. Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations[J].Arthritis Rheum, 2012, 64(10): 3061-3067. DOI: 10.1002/art.34593.
5. Matsumoto Y, Kasashima S, Kawashima A, et al. A case of multiple immunoglobulin G4-related periarteritis:a tumorous lesion of the coronary artery and abdominal aortic aneurysm[J]. humpath, 2008, 39(6): 975-980.DOI: 10.1016/j.humpath.2007.10.023.
6. Misawa Y. Immunoglobulin G4-related cardiovascular disease[J]. Ann Thorac Cardiovasc Surg, 2017, 23(6): 281-285. DOI: 10.5761/atcs.ra.17-00093.
7. Patel NR, Anzalone ML, Buja LM, et al. Sudden cardiac death due to coronary artery involvement by IgG4-related disease: a rare,serious complication of a rare disease[J].Arch Pathol Lab Med, 2014, 138(6): 833-836. DOI: 10.5858/arpa.2012-0614-CR.
8. Takei H, Nagasawa H, Sakai R, et al. A case of multiple giant coronary aneurysms and abdominal aortic aneurysm coexisting with IgG4-related disease[J]. Itern Med, 2012, 51(8): 963-967. DOI: 10.2169/internal medicine.51.6944.
9. Mizushima I, Kasashima S, Fujinaga Y, et al. IgG4-related periaortitis/periarteritis: an under-recognized condition that is potentially life-threatening[J]. Mod Rheumatol, 2019, 29(2): 240-250. DOI: 10.1080/14397595.2018. 1546367.
10. Akiyama M, Kaneko Y, Takeuchi T. Characteristic and prognosis of IgG4-related periaortitis/periarteritis: a systematic literature review[J]. Autoimmun Rev, 2019, 18(9): 102354. DOI: 10.1016/j.autrev.2019.102354.
11. Ozawa M, Fujinaga Y, Asano J, et al. Clinical features of IgG4-related periaortitis/periarteritis based on the analysis of 179 patients with IgG4-related disease:a case-control study[J]. Arthritis Res Ther, 2017, 19(1): 223. DOI: 10.1186/s13075-017-1432-8.
12. Maeda R, Naisuke D, Adachi A, et al. IgG4-related disease involving the cardiovascular system: an intracardiac mass and a mass lesion surrounding a coronary artery[J]. Intern Med, 2019, 58(16): 2363-2366. DOI: 10.2169/internalmedicine.2509-18.
13. Delgado-García G, Sánchez-Salazar S, Rendón-Ramírez E, et al. Myocardial ischemia as presenting manifenstation of IgG4-related disease: a case-based review[J]. Clin Rheumatol, 2016, 35(11): 2857-2864. DOI: 10.1007/s10067-016-3292-z.
14. Tran MN, Langguth D, Hart G, et al. IgG4-related systemic disease with coronary arteritis and aortitis, causing recurring critical coronary ischemia[J]. Int J Cardiol, 2015, 201: 33-34. DOI: 10.1016/j.ijcard.2015.08.014.
15. Hourai R, Miyamura M, Tasaki R, et al. A case of IgG4-related lymphadenopathy, pericarditis, coronary artery periarteritis and luminal stenosis[J]. Heart Vessels, 2016, 31(10): 1709-1713. DOI: 10.1007/s00380-016-0794-1.
16. Koseki K, Yahagi K, Okuno T, et al. Immunoglobulin G4-related coronary periarteritis with multiple intracoronary images[J]. JACC Cardiovasc Interv, 2019, 12(7): e59-e61.DOI: 10.1016/j.jcin.2018.11.018.
17. Okuyama T, Tanaka TD, Nagoshi T, et al. Coronary artery disease concomitant with immunoglobulin G4-related disease: a case report and literature review[J]. Eur Heart J Case Rep, 2019, 3(1): ytz013. DOI: 10.1093/ehjer/ytz013.
18. Keraliya AR, Murphy DJ, Aghayev A, et al. IgG4-related disease with coronary arteritis[J]. Circ Cardiovasc Imaging, 2016, 9(3): e004583. DOI: 10.1161/CIRCIMAGING. 116.004583.
19. Fuente JD, Bird J. Coronary arteritis in IgG4-related disease[J]. N Engl J Med, 2019, 380(22): 2156. DOI: 10.1056/NEJMicm1809588.
20. Rokutanda R, Nishihata Y, Okada M. IgG4-related pericoronary arteritis[J]. J Rheumatol, 2017, 44(10): 1509-1510. DOI: 10.3899/jrheum.170262.
21. Inoue D, Zen Y, Abo H, et al. Immunoglobulin G4-related periaortitis and periarteritis: CT findings in 17 patient[J]. Radiology, 2011, 261(2): 625-633. DOI: 10.1148/radiol.11102250.
22. Urabe Y, Fujii T, Kurushima S, et al. Pigs-in-a-blanket coronary arteries: a case of immunoglobulin G4-related coronary periarteritis assessed by computed tomography coronary angiography,intravascular ultrasound, and positron emission tomography[J]. Circ Cardivasc Imaging, 2012, 5(5): 685-687. DOI: 10.1161/CIRCIMAGING.112.975946.
23. Maurovich-Horvat P, Suhai FI, Czimbalmos C, et al. Coronary artery manifestation of ormond disease: the "Mistletoe sign"[J]. Radiology, 2017, 282(2): 256-360.DOI: 10.1148/radiol.2016160644.
24. 苗来生, 戴汝平. 免疫球蛋白G4相关性冠状动脉血管炎一例[J]. 中国循环杂志, 2020, 35(9): 936-938. DOI: 10.3969/j.issn.1000-3614.2020.09.016. [Miao LS, Dai RP. A case of immunoglobulin G4-related coronary arteritis[J].Chinese Circulation Journal, 2020, 35(9): 936-938.]
25. Umehara H, Okazaki K, Masaki Y, et al. Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011[J]. Mod Rheumatol, 2012, 22(1): 21-30. DOI: 10.1007/10165-011-0571-z.
26. Khosroshahi A, Wallace ZS, Crowe JL, et al. International consensus guidance statement on the management and treatment of IgG4-related disease[J]. Arthritis Rheum, 2015, 67(7): 1688-1699. DOI: 10.1002/art.39132.
27. Wallace ZS, Naden RP, Chari S, et al. The 2019 American College of Rheumatology/European League against rheumatism classification criteria for IgG4-related disease[J]. Arthritis Rheum, 2020, 72(1): 7-19. DOI: 10.1002/art.41120.
28. Fernández-Codina A, Pinilla B, Pinal-Fernández I, et al. Performance of the 2019 ACR/EULAR classification criteria for IgG4-related disease and clinical phenotypes in a Spanish multicentre registry (REERIGG4)[J].Rheumatology, 2021, 60(1): 217-223. DOI: 10.1093/rheumatology/keaa247.
29. Lanzillotta M, Mancuso G, Della-Torre E. Advances in the diagnosis and management of IgG4 related disease[J]. BMJ, 2020, 369: m1067. DOI: 10.1136/bmj.m1067.
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