• Title/Summary/Keyword: 면역글로불린 G

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Immunoglobulin G4-Related Disease Involving Various Head and Neck Regions: A Case Report (두경부에 국한된 표현형으로 발생한 면역글로불린 G4와 연관된 질환: 증례 보고)

  • Jun Yong Im;Miok Sunwoo
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.910-917
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    • 2022
  • Immunoglobulin G4 (IgG4) related disease (IgG4-RD) is currently considered an immune-mediated condition and is recognized as a disorder group with common pathological, hematological, and clinical characteristics. This disease may involve diverse organs of the head and neck, and include mainly the lacrimal gland, orbit, thyroid gland, pituitary gland, and the meninges. Here, we report a case of IgG4-RD in a 65-year-old female showing head- and neck-limited but synchronously and mainly manifesting as otalgia and facial neuritis.

A Case of Granulomatosis with Polyangiitis with IgG4-Related Disease Expressed by Facial Paralysis and Hearing Loss (안면 마비와 난청으로 진단된 면역글로불린 G4 연관질환 동반 육아종성 다발 혈관염 1예)

  • Kim, Hyung-sik;Doo, Jeon Gang;Yeo, Seung Geun;Kim, Sang Hoon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.240-244
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    • 2018
  • Granulomatosis with polyangiitis (GPA) and Immunoglobulin (Ig) $G_4$-related disease ($IgG_4$-RD) are rare diseases and early diagnosis and proper management are imperative to prevent multi-organ damage. The authors present a case of a 60 years old woman who had facial paralysis and hearing loss. Lt intact canal wall tympanomastoidectomy, Lt facial nerve decompression and ossiculoplasty with partial ossicular replacement prosthesis (PORP) was done. During operation, middle ear tissue was biopsied and GPA with $IgG_4$-RD was diagnosed. After methyl prednisolone (MPD) pulse therapy and azathioprine therapy, the severity of paralysis was improved. We present this case because common otologic symptoms like facial palsy and hearing loss could be initial symptoms of rare systemic disease.

Erdheim-Chester Disease Involving the Biliary System and Mimicking Immunoglobulin G4-Related Disease: A Case Report (면역글로불린 G4 연관 질환과 유사한 담관 침범을 보이는 Erdheim-Chester 병: 증례 보고)

  • Hyuk Gi Hong;Yong Eun Chung;June Park;Yeo Eun Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.757-762
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    • 2023
  • First described in 1930 as a lipoid granulomatosis, Erdheim-Chester disease (ECD) is a rare histiocytosis encompassing a group of disorders caused by overproduction of histiocytes, a subtype of white blood cells. This disease most commonly involves the bones and can affect organs in the abdomen; however, biliary involvement is rarely reported. We report a case of ECD with biliary involvement, which rendered it difficult to radiologically distinguish ECD from immunoglobulin G4-related disease.

Effects of Using Prop for Con vergence Pilates Met Exercise on the Immunoglobulin in Middle-aged Women (소도구를 활용한 융복합 필라테스 매트운동이 중년여성의 면역글로블린에 미치는 영향)

  • Back, Soon-Gi
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.329-336
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    • 2015
  • In this study, Pilates mat exercise program three times a week for 8 weeks, 10 minutes for a warm up, 40 minutes of main exercise, and 10-minute cool down exercise using gadgetry to the middle aged women. Pilates exercise program when exercise intensity based on the instructions of the ACSM (2010) as 1-4 weeks 50-60% HRR, 5-8 weeks 61-70% HRR to give 50-70%, maintaining the strength of 4 weeks. Pilates exercise program by gadgetry has increased the strength of wireless heart rate meter (Polar Analyzer, Polar Electro of Finland) Karvonen (1979), proceed individual target heart exercise obtained as a way now to check your strength workout through individual conciousness. We estimated immunoglobulin change for Pilates mat exercise by gadgetry during 8-week. It showed the following conclusions. First, immunoglobulin IgA has been increased and Interaction effects has been showed thruough Pilates mat exercise programs for 8 weeks. Second, immunoglobulin IgG has been increased and showed Interaction effects has been showed thruough Pilates mat exercise programs for 8 weeks. Third, immunoglobulin IgM has been increased and showed Interaction has been showed effects thruough Pilates mat exercise programs for 8 weeks. Therefore, this study was conducted on a Pilates mat exercise using props immune function are positive hormonal changes, can prevent private for the disease and effective exercises that are the fodder.

Convergence Study on the Effects of Using Peony Drinking with Combined Exercise on Serum Immunoglobulin and DHEAs in Middle Aged Women (작약섭취와 복합운동 중재가 중년여성의 혈청 면역글로불린 및 DHEAs에 미치는 효과에 관한 융합 연구)

  • Nam, Sang-Nam;Kim, Dai-Sung
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.261-268
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    • 2018
  • The purpose of this study was to investigate the changes of serum immunoblobulin and DHEAs when 8 weeks of combined exercise and peony intake have been held to women in their 40s and 50s. 15 participants were chosen, divided into three groups, and they had undergone combined exercise with the level of 1RM 60~70%, HRmax 60~70%, three times a week for 60 minutes each. For the proper intake, 6g of peony were warmed in a double boiler with water 107ml, and the crude liquid was ingested 100ml each by the participants, everyday before breakfast, for 8 weeks. The following conclusions were obtained through these objectives and procedures. First, the amount of immunoglobulin has increased in two groups, the 8-week combined exercise group and the group which undergone both the peony intake and the combined exercise, but did not show the significant difference(p>.05). Second, the results of DHEAs showed an increas in two groups, the 8-week combined exercise group and the group which undergone both the peony intake and the combined exercise, but did not show the significant difference(p>.05). Therefore, the consumption of peony and complex exercise in this study did not positively affect the immune function and dementia prevention.

Assessment of Immune Quality and Pathogen Contamination of Colostrums Collected from Colostrum Banks in Korea (초유은행에서 수거한 초유의 병원체 오염과 면역수준의 평가)

  • Kim, Won-Il;Park, Sang-Yul;Kim, Sang-Jin;Cho, Yong-Il;Hur, Tai-Young;Kim, Nam-Soo
    • Journal of Veterinary Clinics
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    • v.30 no.4
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    • pp.223-229
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    • 2013
  • Because colostrum is considered to be the sole source of passively acquired maternal antibodies for calves, newborn calves must consume colostrum to gain disease resistance during their early years of life. Storage of surplus colostrum from dairy cows right after calving and feeding newborn calves in deficiency of colostrum to assure adequate uptake of IgG for protection of the calf has been a common practice in the bovine production. In the current study, 35 colostrums were randomly collected from 3 colostrum banks located in different regions of Korea and monitored for general bacterial contamination and major bovine pathogens. Immunoglobulin concentrations and BVDV-specific antibodies were also determined to evaluate the immune quality of the colostrums. Moderate to severe bacterial contamination (up to 72,000,000 CFU/ml) was observed in most of the colostrums collected from colostrum banks. General immune quality of the colostrums was under the satisfactory level since most of the colostrums contained less than 50 g/L of IgG, which is the minimum concentration for good quality colostrums. Therefore, colostrum for colostrum bank should be collected at the first 2-3 post-partum milkings according to proper harvesting and handling procedures to guarantee the safety and quality of colostrum. In addition, it was recommended that colostrum should be heat-treated before frozen and stored in the bank because pasteurization at $63^{\circ}C$ for 30 min was very effective reducing the risk of disease transmission without causing significant degradation of immunoglobulins.

A Case of Chronic Intractable Diarrhea with IgA, $IgG_2$ and $IgG_4$ Deficiency (면역글로불린 A 및 $G_2$, $G_4$ 결핍에 동반된 만성 난치성 설사 1례)

  • Ahn, Sung-Ryon;Kim, Young-Mi;Nam, Sang-Ook;Park, Jae-Hong;Lee, Chang-Hoon
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.243-248
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    • 2001
  • In most cases, acute diarrhea in childhood heals spontaneously, but it may become the form of chronic diarrhea in immunodeficient children and then cause weight loss, dehydration, malabsorption and malnutrition. The immunodeficient diseases associated with chronic diarrhea include severe combined immunodeficiency syndrome, common variable immunodeficiency, acquired immunodeficiency syndrome, agammaglobulinemia or selective IgA deficiency. IgA deficiency is the most common primary immunodeficiency. Because many IgA deficient individuals seem to have compensated for their deficiency with increased IgM production and various nonimmunologic factors, the incidence of gastrointestinal involvement is not prominent. Some of those with IgA deficiency and recurrent infections have been found to also have IgG subclass deficiency. IgA deficiency with $IgG_2$ and $IgG_4$ subclass deficiency have high susceptability to infection and chronic diarrhea. IgG subclass deficiency, when present, is more likely to be found in association with a partial IgA deficiency rather than complete IgA deficiency. We report a 3-month-old male with intractable diarrhea accompanied by IgA, $IgG_2$, and $IgG_4$ deficiency.

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Unusual Manifestation of Immunoglobulin G4-Related Disease Involving the Upper Arm: A Case Report (상완에 발생한 면역글로불린 G4 연관 질환의 비전형적 발현: 증례 보고)

  • Jin Hee Park;Sun Joo Lee;Hye Jung Choo
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.719-725
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    • 2023
  • Immunoglobulin G4 (IgG4)-related disease is a rare systemic fibroinflammatory condition characterized by organomegaly or tumefactive lesions associated with lymphoplasmacytic infiltration rich in IgG4 plasma cells. We report a case of IgG4-related disease involving the subcutaneous layer of the left upper arm in a 48-year-old female presenting with an unusual soft tissue mass. US and MRI showed an irregular infiltrative soft tissue mass, indicating possible malignancy or inflammation. We discuss the diagnostic criteria, histopathologic features, radiological features, and treatment of IgG4-related disease.

Systemic Manifestations of Immunoglobulin G4-Related Disease: A Pictorial Essay (다양한 인체 장기에서 보일 수 있는 면역글로불린 G4 관련 질환: 임상화보)

  • Kyungri Park;Yo Won Choi;Bo-Kyeong Kang;Ji Young Lee;Jeong Seon Park;Su-Jin Shin;Hye Ryoung Koo
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.575-588
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    • 2021
  • Immunoglobulin G4 (IgG4)-related disease is a systemic fibro-inflammatory disease characterized by pathologic findings in various organs. Imaging is critical for the diagnosis and treatment assessment of patients with IgG4-related disease. In this pictorial essay, we review the key features of multiple imaging modalities, typical pathologic findings, and differential diagnosis of IgG4-related disease. This systematic pictorial review can further our understanding of the broad-spectrum manifestations of this disease.

Immunoglobulin G4-Related Myocarditis with Eosinophilic Infiltration: A Case Report (면역글로불린 G4연관 호산구 침윤성 심근염: 증례 보고)

  • Hyun Woo;Song Soo Kim;Kye Taek Ahn;Seon Ah Jin;Hyeyoung Kwon
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.686-691
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    • 2023
  • Immunoglobulin G4 (IgG4)-related disease (IgG4-RD) is a fibroinflammatory disorder that can involve any organ system; however, myocarditis is extremely rare. A 52-year-old male with dyspnea and chest discomfort underwent cardiac MRI that revealed edema and nodular, patchy, mesocardial and subendoardial delayed enhancement of left ventricle, suggesting myocarditis. Laboratory findings revealed elevated serum IgG4 and eosinophilia. Cardiac biopsy confirmed eosinophilic myocarditis with IgG4-positive cells. Here, we present an unusual case of IgG4-RD manifesting as eosinophilic myocarditis.