{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:09:26Z","timestamp":1753870166852,"version":"3.41.2"},"reference-count":4,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Immunoglobulin G4 (IgG4)\u2010related disease is a chronic inflammatory condition often characterized by exudative pleural effusions. However, transudative pleural effusions, like in the presented case of an 80\u2010year\u2010old man with multiple comorbidities, are less common but possible. Despite initial treatment with diuretics, the effusion persisted, prompting further investigation. Medical thoracoscopy revealed lymphatic follicle hyperplasia and an abundance of IgG4\u2010positive plasmacytoid cells, confirming IgG4\u2010related pleuritis. This case underscores the importance of considering inflammatory etiologies, such as IgG4\u2010related disease, when faced with unresponsive transudative pleural effusions. Thoracoscopy serves as a valuable diagnostic tool in such scenarios, allowing for precise diagnosis and appropriate management.<\/jats:p>","DOI":"10.1002\/rcr2.1404","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T11:12:17Z","timestamp":1718622737000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transudative pleural effusion in pleuritis associated with immunoglobulin <scp>G4<\/scp>\u2010related disease diagnosed by thoracoscopy under local anaesthesia"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1613-4753","authenticated-orcid":false,"given":"Yuto","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6261-0344","authenticated-orcid":false,"given":"Kentaro","family":"Fukunaga","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aya","family":"Ooka","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunichi","family":"Tokuoka","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6268-6587","authenticated-orcid":false,"given":"Yoko","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Sugihara","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology Koka Public Hospital  Koka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine, Department of Medicine Shiga University of Medical Science  Otsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1104650"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002150"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39205"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10030714"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.1404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T09:32:15Z","timestamp":1719307935000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.1404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/rcr2.1404"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.1404","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"type":"print","value":"2051-3380"},{"type":"electronic","value":"2051-3380"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"2024-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e01404"}}