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Volume 361:1121-1123 September 10, 2009 Number 11
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Ruptured Abdominal Aortic Aneurysm Related to IgG4 Periaortitis

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 by Virtanen, K. A.
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To the Editor: Periaortitis that is associated with immunoglobulin G4 (IgG4) plasma-cell infiltration is a rare condition with undefined incidence and clinical features. In a single-center study in Japan, the condition accounted for approximately 5% of all surgical abdominal aortic aneurysms and was depicted as generally asymptomatic and without rupture.1

A 63-year-old white woman with history of controlled diabetes, hypertension, and coronary artery disease and without any other systemic or inflammatory disease was admitted to the hospital because of recent-onset severe, sharp abdominal pain. During the previous 6 months, she had had mild-to-moderate lower back pain, decreased appetite, and weight . . . [Full Text of this Article]




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