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2015, Number 4

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Rev cubana med 2015; 54 (4)

Mesenteric panniculitis associated with IgG4-related disease as a cause of fever of unknown origin

Camargo SH, Buchaca FE, Fernández VF, Rodríguez AL, Chong LA

Language: Spanish
References: 18
Page: 355-362
PDF size: 203.05 Kb.


ABSTRACT

Mesenteric panniculitis is a rare inflammatory disorder of the mesenteric fat, of which there is, so far, about 200 cases reported in the literature. It occurs in elderly adults and its etiology is unknown but its association with gastrointestinal tumors, genitourinary and rheumatological diseases is known. Among its clinical manifestations are abdominal pain, altered bowel movements, weight loss, fever and vomiting. The definitive histopathological diagnosis is fundamentally, there is some tomographic stigma that might suggest its presence. It should be treated as soon as possible and corticosteroids are the drugs of choice. A patient diagnosed with idiopathic mesenteric panniculitis as a result of the evaluation of fever of unknown origin, which we further demonstrate the association of panniculitis with related disease IgG4, disorder recently discovered, characterized by lesions in flammatory pseudotumoral occurs, that occur with tissue infiltration IgG4 positive plasma cells.


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