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Suárez-Díaz S, Bernardo-Cofiño J, Fernández-Villameytide JA, Caminal-Montero L. Resolution of cardiac involvement with cobimetinib in Erdheim-Chester disease. Med Clin (Barc) 2024:S0025-7753(24)00020-4. [PMID: 38614902 DOI: 10.1016/j.medcli.2023.11.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/18/2023] [Accepted: 11/22/2023] [Indexed: 04/15/2024]
Affiliation(s)
- Silvia Suárez-Díaz
- Internal Medicine Department, Hospital Universitario Central de Asturias, Spain.
| | | | | | - Luis Caminal-Montero
- Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Internal Medicine Department, Hospital Universitario Central de Asturias, Oviedo, Spain
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Suárez-Díaz S, Yllera-Gutiérrez C, Morán-Castaño C, Caminal-Montero L. Entities inside one another: VEXAS, a matryoshka-type disease. Reumatol Clin (Engl Ed) 2024; 20:57-58. [PMID: 38233010 DOI: 10.1016/j.reumae.2023.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 08/01/2023] [Indexed: 01/19/2024]
Affiliation(s)
| | | | | | - Luis Caminal-Montero
- Medicina Interna, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Spain
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Morán-Castaño C, Suárez-Díaz S, Álvarez-Marcos CA, Martínez-Camblor L, Criado-Antón Á, Yllera-Gutiérrez C, Caminal-Montero L. ANCA-associated hypertrophic pachymeningitis, a central nervous system limited type of systemic vasculitis. QJM 2023; 116:241-243. [PMID: 36227149 DOI: 10.1093/qjmed/hcac235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 10/03/2022] [Indexed: 11/07/2022] Open
Affiliation(s)
- C Morán-Castaño
- From the Internal Medicine Department, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - S Suárez-Díaz
- Internal Medicine Department, Hospital Valle del Nalón, Langreo, Asturias, Spain
| | - C A Álvarez-Marcos
- Otorhinolaryngology Department, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - L Martínez-Camblor
- Radiology Department, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Á Criado-Antón
- Neurology Department, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - C Yllera-Gutiérrez
- Internal Medicine Department, Hospital Carmen y Severo Ochoa, Cangas de Narcea, Asturias, Spain
| | - L Caminal-Montero
- Internal Medicine Department, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Suárez-Díaz S, Caminal-Montero L. Comments: Recommendations for prevention of infection in systemic autoimmunerheumatic diseases. Reumatol Clin (Engl Ed) 2023; 19:174. [PMID: 36868936 DOI: 10.1016/j.reumae.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 09/02/2022] [Indexed: 03/05/2023]
Affiliation(s)
- Silvia Suárez-Díaz
- Servicio de Medicina Interna, Hospital Valle del Nalón, Langreo, Asturias, Spain.
| | - Luis Caminal-Montero
- Servicio de Medicina Interna, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Suárez-Díaz S, García-Calonge M, Mendoza-Pacas G, Mozo-Avellaneda L, Caminal-Montero L. Non-Cirrhotic Portal Hypertension in Systemic Lupus Erythematosus. Cureus 2023; 15:e35494. [PMID: 36999104 PMCID: PMC10049850 DOI: 10.7759/cureus.35494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2023] [Indexed: 03/01/2023] Open
Abstract
We report the case of idiopathic non-cirrhotic portal hypertension associated with systemic lupus erythematosus in a 43-year-old woman who suffered from breast cancer. We review this rare condition, as well as its diagnostic and therapeutic approaches.
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Suárez-Díaz S, Castaño-Álvarez J, Noval-Tuñón I, Coto-Hernández R, Caminal-Montero L. Atypical Werner Syndrome: Another Scleroderma-Like Fibrosing Disorder. J Clin Rheumatol 2021; 27:S761-S763. [PMID: 32732526 DOI: 10.1097/rhu.0000000000001500] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Suárez-Díaz S, Ortiz-Reyes AM, Valdés-Bécares J, Fuente-Cosío S, Pérez-Piñeiro A, Lobo-García J, Gallo-Álvaro C, Gallego-Villalobos M, Manrique-Pérez JM, Rodríguez-Rodríguez S, Arceo-Solís R, Suárez-Fernández S, Suárez-Pedreira I, Hernando-Gómez M, Rodríguez-Seoane MR, Llorente-García J, Díaz-Fernández V, Puente-Fernández S, Ramírez-Baum CE, Alfonso-Megido J. Letter from Spain: High-flow nasal oxygen-'Go with the flow'. Respirology 2021; 26:1192-1194. [PMID: 34734677 DOI: 10.1111/resp.14177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 10/21/2021] [Accepted: 10/22/2021] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - Sara Fuente-Cosío
- Internal Medicine Department, Hospital Valle del Nalón, Langreo, Spain
| | | | - Julia Lobo-García
- Internal Medicine Department, Hospital Valle del Nalón, Langreo, Spain
| | | | | | | | | | - Rocío Arceo-Solís
- Internal Medicine Department, Hospital Valle del Nalón, Langreo, Spain
| | | | | | | | | | | | | | | | | | - Joaquín Alfonso-Megido
- Internal Medicine Department, Hospital Valle del Nalón, Langreo, Spain.,Critical Care Unit, Hospital Valle del Nalón, Langreo, Spain
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Aguirre-Alastuey ME, Suárez-Díaz S, Rodríguez-Jerez F, Coto-Hernández R, Caminal-Montero L. Venous thrombosis in a systemic lupus erythematosus patient with antiphospholipid antibodies coinciding with mild Covid-19. Lupus 2020; 30:172-174. [PMID: 33092468 DOI: 10.1177/0961203320967407] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
| | | | | | - Rubén Coto-Hernández
- Systemic Autoinmmune Diseases Unit, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Luis Caminal-Montero
- Systemic Autoinmmune Diseases Unit, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Spain
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López P, Rodríguez-Carrio J, Martínez-Zapico A, Pérez-Álvarez ÁI, Suárez-Díaz S, Mozo L, Benavente L, Caminal-Montero L, Suárez A. Low-density granulocytes and monocytes as biomarkers of cardiovascular risk in systemic lupus erythematosus. Rheumatology (Oxford) 2020; 59:1752-1764. [PMID: 32031658 DOI: 10.1093/rheumatology/keaa016] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 01/08/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The aim was to evaluate the most relevant cell populations involved in vascular homeostasis as potential biomarkers of SLE-related cardiovascular disease (CVD). METHODS Low-density granulocytes (LDGs), monocyte subsets, endothelial progenitor cells, angiogenic T (Tang) cells, CD4+CD28null and Th1/Th17 lymphocytes and serum cytokine levels were quantified in 109 SLE patients and 33 controls in relationship to the presence of subclinical carotid atheromatosis or cardiovascular disease. A second cohort including 31 recent-onset SLE patients was also included. RESULTS Raised monocyte and LDG counts, particularly those LDGs negative for CD16/CD14 expression (nLDGs), in addition to the ratios of monocytes and nLDGs to high-density lipoprotein-cholesterol (HDLc) molecules (MHR and nLHR, respectively), were present in SLE patients with traditional risk factors or subclinical atheromatosis but not in those who were CV-free, thus revealing their value in the identification of patients at risk of CVD, even at the onset of disease. Accordingly, nLDGs were correlated positively with carotid intima-media thickness (cIMT) and with inflammatory markers (CRP and IL-6). A bias towards more differentiated monocyte subsets, related to increased IFN-α and IL-17 serum levels, was also observed in patients. Intermediate monocytes were especially expanded, but independently of their involvement in CVD. Finally, CD4+CD28null, Th17 and Th1 lymphocytes were increased, with CD4+CD28null and Th17 cells being associated with cIMT, whereas endothelial progenitor and Tang cell levels were reduced in all SLE patients. CONCLUSION The present study highlights the potential use of MHR and nLHR as valuable biomarkers of CVD risk in SLE patients, even at diagnosis. The increased amounts of nLDGs, monocytes, Th17 and senescent-CD28null subsets, coupled with reduced pro-angiogenic endothelial progenitor cells and Tang cells, could underlie the development of atheromatosis in SLE.
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Affiliation(s)
- Patricia López
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
| | - Javier Rodríguez-Carrio
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
| | - Aleida Martínez-Zapico
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Ángel I Pérez-Álvarez
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Neurology, Hospital Universitario Central de Asturias
| | - Silvia Suárez-Díaz
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Lourdes Mozo
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Immunology, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Lorena Benavente
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Neurology, Hospital Universitario Central de Asturias
| | - Luis Caminal-Montero
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Ana Suárez
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
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Suárez-Díaz S, Morán-Castaño C, Coto-Hernández R, Mozo-Avellaneda L, Suárez-Cuervo C, Caminal-Montero L. Mild COVID-19 in ANCA-associated vasculitis treated with rituximab. Ann Rheum Dis 2020; 80:e99. [PMID: 32769153 DOI: 10.1136/annrheumdis-2020-218246] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 06/12/2020] [Indexed: 02/06/2023]
Affiliation(s)
- Silvia Suárez-Díaz
- Department of Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Claudia Morán-Castaño
- Department of Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Rubén Coto-Hernández
- Systemic Autoinmune Disease Unit, Department of Internal Medicine, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Lourdes Mozo-Avellaneda
- Autoinmunity Section, Inmunology Department, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Carlos Suárez-Cuervo
- Department of Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
| | - Luis Caminal-Montero
- Systemic Autoinmune Disease Unit, Department of Internal Medicine, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Suárez-Díaz S, Coto-Hernández R, Yllera-Gutiérrez C, Álvarez-Fernández C, Trapiella-Martínez L, Caminal-Montero L. Scleroderma-like syndrome associated with pembrolizumab. J Scleroderma Relat Disord 2020; 5:NP5-NP6. [PMID: 35382025 PMCID: PMC8922613 DOI: 10.1177/2397198320905192] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Accepted: 12/15/2019] [Indexed: 10/31/2023]
Affiliation(s)
- Silvia Suárez-Díaz
- Department of Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Rubén Coto-Hernández
- Department of Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain
| | | | | | | | - Luis Caminal-Montero
- Systemic Autoinmune Disease Unit, Department of Internal Medicine, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Spain
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López P, Rodríguez-Carrio J, Martínez-Zapico A, Pérez-Álvarez ÁI, Suárez-Díaz S, Mozo L, Benavente L, Caminal-Montero L, Suárez A. Low-density granulocytes and monocytes as biomarkers of cardiovascular risk in systemic lupus erythematosus. Rheumatology (Oxford) 2020; 59:1795. [PMID: 32447395 DOI: 10.1093/rheumatology/keaa225] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Patricia López
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
| | - Javier Rodríguez-Carrio
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
| | - Aleida Martínez-Zapico
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Ángel I Pérez-Álvarez
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Neurology, Hospital Universitario Central de Asturias
| | - Silvia Suárez-Díaz
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Lourdes Mozo
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Immunology, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Lorena Benavente
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Neurology, Hospital Universitario Central de Asturias
| | - Luis Caminal-Montero
- Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA).,Department of Internal Medicine, Hospital Universitario Central de Asturias
| | - Ana Suárez
- Department of Functional Biology, Immunology Area, Faculty of Medicine, University of Oviedo.,Group of Basic and Translational Research in Inflammatory Diseases, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)
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Suárez-Díaz S, Caminal-Montero L. Overlapping between IgG4-RD and Behçet's Disease. Mediterr J Rheumatol 2020; 31:92. [PMID: 32411940 PMCID: PMC7219650 DOI: 10.31138/mjr.31.1.92] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Revised: 01/30/2020] [Accepted: 02/14/2020] [Indexed: 01/10/2023] Open
Affiliation(s)
- Silvia Suárez-Díaz
- Internal Medicine Department, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Luis Caminal-Montero
- Systemic Autoinmune Disease Unit, Internal Medicine Department, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Spain
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Caminal-Montero L, Suárez-Díaz S. Hydroxychloroquine and Antimalarials. J Rheumatol 2019; 46:1547. [PMID: 31308212 DOI: 10.3899/jrheum.190559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Luis Caminal-Montero
- Autoimmune Systemic Diseases Unit, Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain.
| | - Silvia Suárez-Díaz
- Autoimmune Systemic Diseases Unit, Internal Medicine, Hospital Universitario Central de Asturias, Oviedo, Spain
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Suárez-Díaz S, Santamarta-Liébana E, Brandy-García AM, Caminal-Montero L. Unilateral parotid gland enlargement in a patient with primary Sjögren syndrome. Postgrad Med J 2019; 95:456. [DOI: 10.1136/postgradmedj-2019-136558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 05/22/2019] [Accepted: 06/07/2019] [Indexed: 11/04/2022]
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Suárez-Díaz S, Núñez-Batalla F, Fernández-García MS, Fernández-Llana MB, Yllera-Gutiérrez C, Caminal-Montero L. Aphthous Stomatitis and Laryngitis, Another Form of Presentation of an IgG4-Related Disease? ACTA ACUST UNITED AC 2018; 16:416-418. [PMID: 30297197 DOI: 10.1016/j.reuma.2018.08.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Accepted: 08/16/2018] [Indexed: 12/31/2022]
Abstract
IgG4-related disease is characterized by a lymphoplasmacytic infiltrate rich in IgG4-positive plasma cells, storiform fibrosis and obliterative phlebitis. It can present as parotid gland enlargement, tubulointerstitial nephritis, retroperitoneal fibrosis or pancreatitis, although nearly any organ can be affected. We report the case of a 37-year-old woman who presented with severe dysphonia and recurrent painful aphthous ulcers, with histopathological findings at the level of the larynx that revealed a lymphoplasmacytic infiltrate and IgG4 positivity. In addition, extensive studies were performed to rule out other diseases. Thus the diagnosis was IgG4-related laryngitis, an exceptional finding in the literature.
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Affiliation(s)
- Silvia Suárez-Díaz
- Servicio de Medicina Interna, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.
| | - Faustino Núñez-Batalla
- Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | | | | | - Carmen Yllera-Gutiérrez
- Servicio de Medicina Interna, Hospital Universitario Central de Asturias, Oviedo, Asturias, España
| | - Luis Caminal-Montero
- Servicio de Medicina Interna, Unidad de Enfermedades Autoinmunes Sistémicas (UEAS), Hospital Universitario Central de Asturias, Oviedo, Asturias, España
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