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IgG4-Related Disease Presenting as Paravertebral Mass With Chylothorax: A Case Report

摘要


Immunoglobulin G4-related disease (IgG4-RD) is a rare but increasingly recognized fibroinflammatory disorder involving multiple organs. The various manifestations of IgG4-RD often lead to diagnostic challenges. Herein, we report the case of a 50-year-old woman who initially presented with chylothorax. Chest computed tomography (CT) revealed a paravertebral mass at the T5-11 vertebrae. CT-guided biopsy revealed diffuse lymphoplasmacytic infiltrations with IgG4-related plasma cells and storiform fibrosis. Oral administration of prednisone was prescribed. Follow-up CT revealed complete resolution of the paravertebral mass.

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