1. Sudden coronary death due to IgG4-related disease.
- Author
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Gutierrez PS, Schultz T, Siqueira SA, and de Figueiredo Borges L
- Subjects
- Autoimmune Diseases blood, Autoimmune Diseases diagnosis, Autopsy, Biomarkers blood, Cardiopulmonary Resuscitation, Coronary Aneurysm blood, Coronary Aneurysm diagnosis, Coronary Thrombosis blood, Coronary Thrombosis diagnosis, Fatal Outcome, Heart Arrest immunology, Heart Arrest therapy, Humans, Male, Middle Aged, Treatment Outcome, Autoimmune Diseases immunology, Coronary Aneurysm immunology, Coronary Thrombosis immunology, Death, Sudden, Cardiac etiology, Immunoglobulin G blood
- Abstract
A 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., (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Published
- 2013
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