IgG4-related systemic disease: Difference between revisions
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==Overview== | ==Overview== | ||
'''IgG4-related systemic disease''' (IgG4-RSD), also known as '''hyper-IgG4 disease''' and '''IgG4-related disease''' is a disease in which inflammatory cells cause [[fibrosis]], the deposition of [[connective tissue]], in one or more organs. The disease is so named because the antibody subtype [[Immunoglobulin G|IgG4]] can be detected on tissue samples and often at elevated levels in the bloodstream. The association with IgG4 is a relatively recent finding, and the condition has been described under numerous other names in the past. Diseases such as [[autoimmune pancreatitis]], [[retroperitoneal fibrosis]], [[mediastinal fibrosis]], [[Riedel's thyroiditis]], [[Mikulicz's syndrome]], [[Kuttner's tumor]] and [[inflammatory pseudotumor]] are now regarded as forms of IgG4-RSD.<ref>{{cite journal | author=Khosroshahi A, Stone JH | title=A clinical overview of IgG4-related systemic disease | journal=Curr Opin Rheumatol | year=2011 | month=Jan | volume=23 | issue=1 | pages=57–66 | pmid=21124086 | doi=10.1097/BOR.0b013e3283418057}}</ref> <ref>{{cite journal | author=Stone JH | title=IgG4-Related Disease | journal=New England Journal of Medicine | year=2012 | month=February| volume=336 | issue= 6 | pages=539–51 | PMID=22316447 |url=http://www.nejm.org/doi/full/10.1056/NEJMra1104650| doi=10.1056/NEJMra1104650}}</ref> | '''IgG4-related systemic disease''' (IgG4-RSD), also known as '''hyper-IgG4 disease''' and '''IgG4-related disease''' is a disease in which inflammatory cells cause [[fibrosis]], the deposition of [[connective tissue]], in one or more organs. The disease is so named because the antibody subtype [[Immunoglobulin G|IgG4]] can be detected on tissue samples and often at elevated levels in the bloodstream. The association with IgG4 is a relatively recent finding, and the condition has been described under numerous other names in the past. Diseases such as [[autoimmune pancreatitis]], [[retroperitoneal fibrosis]], [[mediastinal fibrosis]], [[Riedel's thyroiditis]], [[Mikulicz's syndrome]], [[Kuttner's tumor]] and [[inflammatory pseudotumor]] are now regarded as forms of IgG4-RSD.<ref>{{cite journal | author=Khosroshahi A, Stone JH | title=A clinical overview of IgG4-related systemic disease | journal=Curr Opin Rheumatol | year=2011 | month=Jan | volume=23 | issue=1 | pages=57–66 | pmid=21124086 | doi=10.1097/BOR.0b013e3283418057}}</ref> <ref>{{cite journal | author=Stone JH | title=IgG4-Related Disease | journal=New England Journal of Medicine | year=2012 | month=February| volume=336 | issue= 6 | pages=539–51 | PMID=22316447 |url=http://www.nejm.org/doi/full/10.1056/NEJMra1104650| doi=10.1056/NEJMra1104650}}</ref> | ||
==Historical Perspective== | |||
==Classification== | |||
==Pathophysiology== | |||
==Causes== | |||
==Differentiating IgG4-related Systemic Diseases from other Diseases== | |||
==Epidemiology and Demographics== | |||
===Age=== | |||
===Gender=== | |||
===Race=== | |||
==Risk Factors== | |||
== Natural History, Complications and Prognosis== | |||
== Diagnosis == | |||
===Diagnostic Criteria=== | |||
=== Symptoms === | |||
=== Physical Examination === | |||
=== Laboratory Findings === | |||
===Imaging Findings=== | |||
=== Other Diagnostic Studies === | |||
== Treatment == | |||
=== Medical Therapy === | |||
=== Surgery === | |||
=== Prevention === | |||
== References == | == References == | ||
Revision as of 15:44, 5 July 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]
Overview
IgG4-related systemic disease (IgG4-RSD), also known as hyper-IgG4 disease and IgG4-related disease is a disease in which inflammatory cells cause fibrosis, the deposition of connective tissue, in one or more organs. The disease is so named because the antibody subtype IgG4 can be detected on tissue samples and often at elevated levels in the bloodstream. The association with IgG4 is a relatively recent finding, and the condition has been described under numerous other names in the past. Diseases such as autoimmune pancreatitis, retroperitoneal fibrosis, mediastinal fibrosis, Riedel's thyroiditis, Mikulicz's syndrome, Kuttner's tumor and inflammatory pseudotumor are now regarded as forms of IgG4-RSD.[1] [2]
Historical Perspective
Classification
Pathophysiology
Causes
Epidemiology and Demographics
Age
Gender
Race
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
Symptoms
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Prevention
References
- ↑ Khosroshahi A, Stone JH (2011). "A clinical overview of IgG4-related systemic disease". Curr Opin Rheumatol. 23 (1): 57–66. doi:10.1097/BOR.0b013e3283418057. PMID 21124086. Unknown parameter
|month=ignored (help) - ↑ Stone JH (2012). "IgG4-Related Disease". New England Journal of Medicine. 336 (6): 539–51. doi:10.1056/NEJMra1104650. PMID 22316447. Unknown parameter
|month=ignored (help)