IgG4-related prostatitis: a rare cause of steroid-responsive obstructive urinary symptoms

Int J Urol. 2013 Jan;20(1):132-4. doi: 10.1111/j.1442-2042.2012.03194.x. Epub 2012 Oct 17.

Abstract

IgG4-related disease is an idiopathic, systemic fibroinflammatory disease that can affect a wide variety of sites, including several in the genitourinary system. We describe a patient with steroid-responsive urinary symptoms and an abnormal digital rectal exam that were secondary to IgG4-related prostatitis. We discuss the importance of recognizing this condition and differentiating it from prostate cancer, which can present similarly.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Autoimmune Diseases / complications
  • Autoimmune Diseases / diagnosis*
  • Humans
  • Immunoglobulin G / metabolism*
  • Lower Urinary Tract Symptoms / drug therapy
  • Lower Urinary Tract Symptoms / immunology*
  • Male
  • Middle Aged
  • Prednisone / therapeutic use
  • Prostatitis / complications
  • Prostatitis / diagnosis
  • Prostatitis / immunology*

Substances

  • Anti-Inflammatory Agents
  • Immunoglobulin G
  • Prednisone