4.4 Review

IgG4-related disease with kidney and lymph nodes involvement: a case-based review

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Summary: IgG4-related disease is a rare systemic fibroinflammatory disease that can affect various organs, including the thoracic region. Diagnosing thoracic involvement requires a comprehensive approach, including clinical, biological, imaging, and histopathological evaluations. Steroids are recommended as the first-line treatment for this disease.

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IgG4-Related Disease With Gastrointestinal Involvement: Case Reports and Literature Review

Xinhe Zhang et al.

Summary: IgG4-related disease is an immune-mediated chronic, systemic, and autoinflammatory disease that can affect various organs throughout the body. The most commonly affected areas are the pancreas and biliary system. This article reports two special cases involving atrophic gastritis and intestinal polyps, providing empirical and theoretical basis for clinical diagnosis and treatment.

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IgG4-Related Ophthalmic Disease

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Summary: A 67-year-old man presented with swollen eyelids and proptosis in the ophthalmology clinic. Biopsy of the right lacrimal gland revealed a lymphoplasmacytic infiltrate with IgG4-positive plasma cells.

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IgG4-related Lymphadenopathy A Comparative Study of 41 Cases Reveals Distinctive Histopathologic Features

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Summary: The presence of increased IgG4-positive plasma cells and IgG4/IgG ratio is not sensitive or specific for the diagnosis of IgG4-related lymphadenopathy, while most described morphologic patterns are nonspecific. Nodal involvement by IgG4-rich fibrosis or diffuse interfollicular expansion by IgG4-positive plasma cells are highly specific features of true IgG4-related lymphadenopathy. These findings provide a clinically meaningful approach for distinguishing IgG4-related lymphadenopathy from its mimics during lymph node evaluation by pathologists.

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Advances in the diagnosis and management of IgG4 related disease

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IgG4-related disease: an update on pathophysiology and implications for clinical care

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Zachary S. Wallace et al.

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Plasmablasts as a biomarker for IgG4-related disease, independent of serum IgG4 concentrations

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IgG4-Related Disease

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Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011

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