@article{oai:soar-ir.repo.nii.ac.jp:00003756, author = {Yamamoto, Hiroshi and Suzuki, Toshiro and Yasuo, Masanori and Kobayashi, Orie and Tsushima, Kenji and Ito, Michiko and Urushihata, Kazuhisa and Yamazaki, Yoshitaka and Hanaoka, Masayuki and Koizumi, Tomonobu and Uehara, Takeshi and Kawakami, Satoshi and Hamano, Hideaki and Kawa, Shigeyuki and Kubo, Keishi}, issue = {8}, journal = {INTERNAL MEDICINE}, month = {}, note = {A 78-year-old man with cryptogenic chronic bilateral lymphoplasmacytic pleuritis, diagnosed based on left parietal pleural biopsy specimens obtained by pleuroscopy, developed acute left bacterial pleuritis. The left pleural effusion was neutrophil dominant, however, the right pleural effusion showed lymphoplasmacytic infiltration. Laboratory examinations revealed that his serum IgG4 concentration was increased, with a higher level of IgG4 in the right pleural effusion. Re-evaluation of the previous biopsy specimens using an immunostaining method revealed numerous IgG4-positive plasma cell infiltrations with IgG4-positive/IgG-positive plasma cells at 85.4%. Accordingly, the new diagnosis of this patient was considered to be chronic bilateral IgG4-related pleuritis., Article, INTERNAL MEDICINE. 50(8):893-897 (2011)}, pages = {893--897}, title = {IgG4-Related Pleural Disease Diagnosed by a Re-Evaluation of Chronic Bilateral Pleuritis in a Patient Who Experienced Occasional Acute Left Bacterial Pleuritis}, volume = {50}, year = {2011} }