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Hoarseness as the presentation of immunoglobulin G4-related disease with vocal cord and mediastinal infiltration

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Resumo(s)

Immunoglobulin G4-related disease is a rare fibroinflammatory infiltrative condition with heterogeneous clinical manifestations. We present the case of a 64-year-old man that presented with hoarseness due to vocal cord involvement, a particularly rare manifestation. A large mediastinal mass compressing thoracic large vessels was also identified. The patient was initially treated with glucocorticoids but had relapses during glucocorticoid tapering. Rituximab was started after a careful pre-treatment evaluation of the infectious risk and treatment of comorbidities.

Descrição

© Copyright Clinical and Experimental Rheumatology 2022.

Palavras-chave

IgG4-related disease Hoarseness Vocal cords Laryngeal diseases Larynx Mediastinal neoplasms Mediastinum Positron-emission tomography Autoimmune diseases Rheumatology

Contexto Educativo

Citação

Clin Exp Rheumatol 2022 May;40 Suppl 134(5):113-115

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