Article Text
Editor's quiz: GI snapshot
A rare cause of an ileocaecal mass and lymphadenopathy
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- IgG4-related systemic disease
- IgG4 mesenteric fibrosclerosis
- sclerosing mesenteritis
- multifocal idiopathic fibrosclerosis
- autoimmune biliary disease
- autoimmune disease
- B cell
- liver
- HCV
- viral immunology
- hepatitis C virus
- T cells
- immunoregulation
- acute hepatitis
- acute liver failure
- hepatocellular carcinoma
- primary sclerosing cholangitis
- autoimmune liver disease
- primary biliary cirrhosis
Clinical presentation
A 56-year-old gentleman presented with a 6-week history of fatigue, drenching night sweats and 6 kg of weight loss. Clinical examination revealed a palpable right iliac fossa mass. He had a history of hypertension. Full blood count, differential white count and blood film were unremarkable. Inflammatory markers were elevated: …
Footnotes
Funding EL Culver receives research funding from a Wellcome Trust Research Training Fellowship (095160/Z/10/Z).
Competing interests None.
Patient consent Obtained.
Ethics approval Ethical approval from Oxfordshire RECA 10/H0604/51.
Provenance and peer review Not commissioned; internally peer reviewed.