Review of IgG4-related disease

Autor: Elsa María Alonso-Muñoz, Raquel Sánchez-Oro, Lidia Martí Romero
Rok vydání: 2019
Předmět:
Zdroj: Gastroenterología y Hepatología (English Edition). 42:638-647
ISSN: 2444-3824
DOI: 10.1016/j.gastre.2019.08.002
Popis: IgG4-related disease is a fibrous-inflammatory process related to immunomodulation. The most commonly affected organs are: the pancreas, bile duct, major salivary glands, lacrimal glands, retroperitoneum and lymphatic ducts. In recent decades, this disease has been recognised as a systemic disorder that includes many single organ disorders, previously unrelated and known as independent entities. The common characteristics shared by the different entities that make up the IgG4-related disease are: raised serum IgG4 levels, alterations in the imaging tests with neoplastic-like swelling of the affected organs, specific histopathological characteristics and in immunostaining, as well as good response to treatment with glucocorticoids. In this work, we will review this pathology with a special emphasis on the characteristics of autoimmune pancreatitis, sclerosing cholangitis related to IgG4 and the involvement of the retroperitoneum, mesenterium and the digestive tract.
Databáze: OpenAIRE