Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease

Sosei Kuma; Tsubasa Takeshima; Takefumi Ohga; Tadahiro Nozoe; Katsuo Sueishi

doi:10.1016/j.jvscit.2017.10.005

Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease

Sosei Kuma, Tsubasa Takeshima, Takefumi Ohga, Tadahiro Nozoe, Katsuo Sueishi

Faculty of Medical Sciences

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis.

Original language	English
Pages (from-to)	243-246
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	3
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2017.10.005
Publication status	Published - Dec 2017

All Science Journal Classification (ASJC) codes

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2017.10.005

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title = "Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease",

abstract = "A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis.",

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T1 - Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease

AU - Kuma, Sosei

AU - Takeshima, Tsubasa

AU - Ohga, Takefumi

AU - Nozoe, Tadahiro

AU - Sueishi, Katsuo

PY - 2017/12

Y1 - 2017/12

N2 - A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis.

AB - A 68-year-old man was admitted because of a pulsatile mass and pain in the left temporal region, and computed tomography demonstrated the superficial temporal artery aneurysm. He underwent aneurysmectomy, and pathologic investigation revealed marked thickness of the adventitia with substantial plasmacyte infiltration. On immunoglobulin G4 (IgG4) immunohistochemistry, IgG4-positive lymphocytes were scattered in the adventitia, and biochemical tests revealed elevation of IgG4 (200 mg/dL). The case satisfied the criteria for both giant cell arteritis and IgG4-related disease (IgG4-RD). This case report suggested that IgG4-RD can occur in the superficial temporal artery and that IgG4-RD may partially overlap with a subtype of giant cell arteritis.

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Superficial temporal artery aneurysm associated with immunoglobulin G4-related disease

Abstract

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