7 results
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
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IgG4-Related Disease ... Clinical history ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... deficiency, or Wolman’s disease ... acid lipase is critical ... #clincial #peds ... calcifications #infant #NEJM
Gastric Gyri - Pediatric Ménétrier’s Disease - Computed tomography with contrast material (Panel A shows the
Pediatric Ménétrier’s Disease ... #Clinical #Peds ... GI #Radiology #CT ... RugalHypertrophy #NEJM
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
Carcinoma of the Lung ... biopsy confirmed a diagnosis ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
effusions in both lungs ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
Thumbprinting in Ischemic Colitis- Contrast-enhanced computed tomography of the abdomen, performed to evaluate the possibility of
complicated diverticular disease ... consistent with a diagnosis ... ischemic #colitis #clinical ... #radiology #CT ... thumbprinting #sign #NEJM
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
sawtooth rete pegs ... confirming the diagnosis ... an autoimmune disease ... #NEJM #clinical