- 期刊
- OpenAccess
IgG4-Related Disease Combined with Autoimmune Hemolytic Anemia and Steroid-Responsive Transient Hypercalcemia
並列摘要
A 67-year-old man with elevated serum immunoglobulin G4 (IgG4) levels, systemic lymphadenopathy infiltrated by IgG4-positive plasma cells, and Coombs-positive autoimmune hemolytic anemia (AIHA) showed marked hypercalcemia. Although the intact parathyroid hormone (PTH) level was elevated, 99mTc-MIBI scintigraphy and thyroid ultrasonography revealed no evidence of primary hyperparathyroidism. Liver biopsy showed marked infiltration of IgG4-positive plasma cells, which confirmed the diagnosis of IgG4-related disease (IgG4-RD). Corticosteroid therapy was initiated, and subsequently, intact PTH and serum calcium levels gradually normalized. Transient hypercalcemia in a patient with AIHA may therefore be associated with IgG4-RD.
延伸閱讀
- 林丁寅（2020）。Literature review and clinical diagnosis assessment of drug-induced immune hemolytic anemia〔碩士論文，中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/csmu202000177
- Bandara, M., Seder, D. B., Garratty, G., Leger, R. M., & Zuckerman, J. B. (2010). Piperacillin-Induced Immune Hemolytic Anemia in an Adult with Cystic Fibrosis. Case Reports in Medicine, 2010(), 75-79-017. https://doi.org/10.1155/2010/161454
- 黃德揚、吳清芳、李廷堅（1960）。Two Cases of Acute Hemolytic Anemia Associated with Infectious Hepatitis。Acta Paediatrica Sinica，1(2)，15-20。https://www.airitilibrary.com/Article/Detail?DocID=00016578-196010-1-2-15-20-a
- Lin, G. J., Lin, K. S., & Lee, T. C. (1978). Idiopathic Autoimmune Hemolytic Anemia a Report of Two Cases in Infants. Acta Paediatrica Sinica, 19(1), 45-54. https://www.airitilibrary.com/Article/Detail?DocID=00016578-197803-19-1-45-54-a
- Wang, Y. W., Lin, Y. T., Hung, S. W., Tsai, J. W., Chen, L. J., Jan, Y. J., Hsieh, C. W., & Wang, C. C. (2022). IgG4-Related Disease: A Case Report and Review of the Literature. Journal of Radiological Science, 47(), 93-97. https://doi.org/10.6698/JRS.202203_47.0019