Refractory gastric ulcer with abundant IgG4-positive plasma cell infiltration: a case report

World J Gastroenterol. 2010 May 7;16(17):2183-6. doi: 10.3748/wjg.v16.i17.2183.

Abstract

We describe a 77-year-old man with refractory gastric ulcer that worsened after Helicobacter pylori eradication therapy. Pathology showed marked infiltration of IgG4-positive plasma cells in the gastric lesions, which led us to suspect IgG4-related sclerosing disease. To the best of our knowledge, this is the first report of IgG4-related gastric ulcer without the main manifestation of autoimmune pancreatitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Gastritis / complications
  • Gastritis / drug therapy
  • Helicobacter Infections / complications
  • Helicobacter Infections / drug therapy
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin G / metabolism*
  • Male
  • Plasma Cells / immunology*
  • Plasma Cells / pathology
  • Sclerosis
  • Stomach Ulcer / etiology
  • Stomach Ulcer / immunology*
  • Stomach Ulcer / pathology

Substances

  • Immunoglobulin G