A 47-year-old man with a history of IgG4-related disease is found to have asymptomatic coronary artery aneurysms. What’s the underlying pathology?
A 47-year-old man presented to the cardiology clinic for evaluation of coronary-artery dilatations detected on computed tomography (CT). The patient was asymptomatic but had a history of IgG4-related disease. Laboratory tests showed a normal serum IgG4 concentration. CT angiogram of the coronary vessels revealed aneurysmal dilatation of the right coronary artery with marked, periarterial soft-tissue thickening. What is the diagnosis?
What is the most likely diagnosis?
Cardiology, Coronary Artery Aneurysm, IgG4-related disease, IgG4-related disease arteritis, Vasculitis
