HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

[Severe asthmatic crisis during general anesthesia in a patient with IgG4 related disease].

Abstract
We experienced severe asthmatic crisis during general anesthesia in a 45-year-old man with IgG4-related disease, COPD and athma undergoing removal of submandibular gland. The ventilatiory failure was caused by the stimulation of the operation, sputum, and neostigmine. His serum IgG4 level was extremely high. IgG4 related disease is a recently emerging entity characterized by a diffuse or mass forming inflammatory reaction rich in IgG4-positive plasma cells associated with fibrosclerosis and obliterative phlebitis. It is associated with an elevated serum level of IgG4 and an allergic disease. We must be careful in perioperative management of the patients with IgG4-related disease because general anesthesia can induce asthmatic crisis.
AuthorsMachika Moriya, Shinya Oda, Masaki Nakane, Kaneyuki Kawamae
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 63 Issue 4 Pg. 418-22 (Apr 2014) ISSN: 0021-4892 [Print] Japan
PMID24783608 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Immunoglobulin G
  • Neostigmine
Topics
  • Anesthesia, General
  • Asthma (complications)
  • Bronchial Hyperreactivity (complications)
  • Humans
  • Immunoglobulin G (blood)
  • Inflammation (complications)
  • Intraoperative Complications (etiology, prevention & control)
  • Male
  • Middle Aged
  • Neostigmine (adverse effects)
  • Perioperative Care
  • Phlebitis (complications)
  • Pulmonary Disease, Chronic Obstructive (complications)
  • Retroperitoneal Fibrosis (complications, congenital)
  • Status Asthmaticus (etiology, prevention & control)
  • Submandibular Gland (surgery)
  • Syndrome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: