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IgG subclass 4-related disease with fluctuating biclonal gammopathy and features of POEMS syndrome: a case report

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Author(s): J. C. Starr | A. Rao | G. W. Brasher | R. S. Beissner | D. A. Smith

Journal: Clinical and Experimental Medical Sciences
ISSN 1314-7528

Volume: 1;
Issue: 4;
Start page: 177;
Date: 2013;
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Keywords: Castleman’s Disease | fluctuating biclonal gammopathy | IgG subclass 4 disease | monoclonal gammopathy | polyclonal hypergammaglobulinemia | POEMS Syndrome

ABSTRACT
IgG subclass 4-related disease should be considered in the differential diagnosesof many diseases and conditions including lymphoma, autoimmune pancreatitis,lymphoplasmacytic aortitis, urticarial vasculitis, Kuttner’s tumor, eosinophilia,hypocomplementemia, interstitial nephritis, and others. An association ofPOEMS and IgG 4-subclass related disease has been reported once previously.We report an additional patient with POEMS-like features and IgG 4 relateddisease.
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