An Evasive Liver Mass in a Human Immunodeficiency Virus (HIV)-Positive Patient.
Reanay BerezovskiyJames M CrawfordArvind RishiSohil KhuranaJoshua KernStefani MorscherSanjaya Kumar SatapathyPublished in: ACG case reports journal (2024)
IgG4-related disease (IgG4-RD) is an autoimmune syndrome that is characterized by elevated levels of serum IgG4 and infiltration of various tissue types by IgG4 immunoreactive plasma cells. The IgG4-RD can result in systemic disease and the formation of inflammatory mass lesions, frequently addressed as pseudotumors. While IgG4-RD can manifest in various organs, liver involvement is rare, and because it is an immune-mediated inflammatory process, it is uncommon in patients who are immunocompromised. Furthermore, despite IgG4-RD responding well to immunosuppressive treatment, cases of spontaneous remission are exceedingly rare in the literature. In this report, we present the unique case of a self-resolving IgG4-RD lesion of the liver in a HIV positive patient.
Keyphrases
- hiv positive
- human immunodeficiency virus
- antiretroviral therapy
- men who have sex with men
- south africa
- hiv infected
- case report
- systematic review
- induced apoptosis
- end stage renal disease
- ejection fraction
- oxidative stress
- hiv aids
- rheumatoid arthritis
- prognostic factors
- cell proliferation
- systemic lupus erythematosus
- cell death
- ulcerative colitis
- cell cycle arrest
- peritoneal dialysis