Characteristic Distribution of Inflammatory Lesions in IgG4-Related Kidney Disease: Findings from Autopsy Case Series View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016-11-12

AUTHORS

Satoshi Hara , Mitsuhiro Kawano , Ichiro Mizushima , Kenichi Harada , Takuma Takata , Takako Saeki , Yoshifumi Ubara , Yasuharu Sato , Michio Nagata

ABSTRACT

IgG4-related tubulointerstitial nephritis (TIN) reveals specific histologies such as storiform (“bird’s-eye pattern”) fibrosis, regional lesion distribution, and extension of inflammation into and beyond the renal capsule, all of which clearly serve to distinguish IgG4-related TIN from non-IgG4-related TIN. However, the histological extent of IgG4-related TIN in the kidney remains unclear, largely because histological analyses of IgG4-related TIN to date have been based generally only on renal needle biopsy specimens. We histologically analyzed five autopsy specimens of IgG4-related TIN cases. The lymphoplasmacytic infiltration or fibrosis was mainly located in the cortex and perivasculature. Notably, inflammation or fibrosis generally appeared prominently around the interlobar, arcuate and interlobular arteries or veins. In addition, all specimens included various stages of fibrosis in the same kidneys. Storiform fibrosis (bird’s-eye pattern fibrosis) was limited to the cortex. These results indicate that inflammation or fibrosis is predominantly located in the renal cortex and perivasculature in IgG4-related TIN. Of note is that the lesions showed a predilection to develop around medium- and small-sized arteries in addition to forming nodular lesions in the renal cortex. More... »

PAGES

187-191

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-4-431-55687-9_16

DOI

http://dx.doi.org/10.1007/978-4-431-55687-9_16

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1047096043


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188 grid-institutes:grid.20515.33 schema:alternateName Department of Kidney and Vascular Pathology, University of Tsukuba, Tsukuba, Japan
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191 grid-institutes:grid.261356.5 schema:alternateName Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
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194 grid-institutes:grid.410813.f schema:alternateName Nephrology Center, Toranomon Hospital, Kajigaya, Japan
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197 grid-institutes:grid.412002.5 schema:alternateName Division of Rheumatology, Department of Internal Medicine, Kanazawa University Hospital, Kanazawa, Japan
198 schema:name Department of Kidney and Vascular Pathology, University of Tsukuba, Tsukuba, Japan
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201 grid-institutes:grid.416384.c schema:alternateName Department of Internal Medicine, Nagaoka Red Cross Hospital, Nagaoka, Japan
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204 grid-institutes:grid.9707.9 schema:alternateName Department of Human Pathology, Kanazawa University Graduate School of Medicine, Kanazawa, Japan
205 schema:name Department of Human Pathology, Kanazawa University Graduate School of Medicine, Kanazawa, Japan
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