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QJM 2007 100(2):141-142; doi:10.1093/qjmed/hcl138
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© 2007 The Author(s)
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<http://creativecommons.org/licenses/by-nc/2.0/uk/>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

IgG4-associated multifocal systemic fibrosis presenting with fever of unknown origin

The first 10% of the full text of this article appears below.

Sir,

Autoimmune pancreatitis is characterized by significant lymphoplasmacytic infiltration and fibrosis of the pancreas,1 with high serum IgG4 concentrations and/or IgG4-positive plasma cell infiltration.2,3 The disease may be complicated by a variety of extra-pancreatic lesions,2,3 suggesting the possibility of systemic disease, recently described as IgG4-associated multifocal systemic fibrosis.4

Of 31 patients admitted to our hospital with a fever . . . [Full Text of this Article]

K. Tsushima and K. Kubo

First Department of Internal Medicine

S. Kawa

Center for Health, Safety and Environmental Management

H. Hamano

Second Department of Internal Medicine
Shinshu University School of Medicine
Matsumoto City
Japan

email: tsushima@hsp.md.shinshu-u.ac.jp


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