
Sudden coronary death due to IgG4-related disease
2013; Elsevier BV; Volume: 22; Issue: 6 Linguagem: Inglês
10.1016/j.carpath.2013.05.003
ISSN1879-1336
AutoresPaulo Sampaio Gutierrez, Thiago Schultz, Sheila Aparecida Coelho Siqueira, Luciano de Figueiredo Borges,
Tópico(s)Amyloidosis: Diagnosis, Treatment, Outcomes
ResumoA 54-year-old male entered the emergency room in cardiorespiratory arrest after syncope at home. Resuscitation was attempted, but the patient died a few hours later. At necropsy, aneurysms were found at the right and left anterior descending coronary arteries. At microscopic examination, there was no significant coronary atherosclerosis, and a dense inflammatory infiltrate was detected, with a high number of igG4-positive cells (94.0 positive cells/hpf). The case illustrates that IgG4-related disease can cause coronary disease and sudden cardiac death.
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