Some histopathological aspects of the disease related to IgG-4

The IgG4-related disease (IgG4-RD) is a recurrent chronic fibroinflammatory disease, probably of autoimmune origin, recently recognised. Its diagnosis is based on a combination of clinical, radiological, serological, histopathological and immunohistochemical data. However, the histopathology is cons...

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Main Author: Minerva Lazos-Ochoa
Format: Article
Language:English
Published: Permanyer 2015-04-01
Series:Revista Médica del Hospital General de México
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0185106315000232
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author Minerva Lazos-Ochoa
author_facet Minerva Lazos-Ochoa
author_sort Minerva Lazos-Ochoa
collection DOAJ
description The IgG4-related disease (IgG4-RD) is a recurrent chronic fibroinflammatory disease, probably of autoimmune origin, recently recognised. Its diagnosis is based on a combination of clinical, radiological, serological, histopathological and immunohistochemical data. However, the histopathology is considered as the golden “standard” for diagnosis. In most of the cases, the sum of lymphoplasmacytic inflammatory infiltrate with abundant IgG4+ plasma cells, storiform fibrosis and obliterative phlebitis makes a reliable diagnosis. Patients usually show elevated serum IgG4 concentrations and respond well to steroid therapy. Nowadays, IgG4-RD has been described in almost every organ: pancreatobiliary tract, liver, salivary glands, nasopharynx, bone marrow, lacrimal gland, extra-ocular muscles and retrobulbar space, kidney, lung, lymph nodes, meninges, aorta, skin, breast, prostate, thyroid gland and pericardium.
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spelling doaj.art-93161a4056654d1aa5063e57d1a9f0032022-12-21T18:39:43ZengPermanyerRevista Médica del Hospital General de México0185-10632015-04-017829910410.1016/j.hgmx.2015.03.007Some histopathological aspects of the disease related to IgG-4Minerva Lazos-OchoaThe IgG4-related disease (IgG4-RD) is a recurrent chronic fibroinflammatory disease, probably of autoimmune origin, recently recognised. Its diagnosis is based on a combination of clinical, radiological, serological, histopathological and immunohistochemical data. However, the histopathology is considered as the golden “standard” for diagnosis. In most of the cases, the sum of lymphoplasmacytic inflammatory infiltrate with abundant IgG4+ plasma cells, storiform fibrosis and obliterative phlebitis makes a reliable diagnosis. Patients usually show elevated serum IgG4 concentrations and respond well to steroid therapy. Nowadays, IgG4-RD has been described in almost every organ: pancreatobiliary tract, liver, salivary glands, nasopharynx, bone marrow, lacrimal gland, extra-ocular muscles and retrobulbar space, kidney, lung, lymph nodes, meninges, aorta, skin, breast, prostate, thyroid gland and pericardium.http://www.sciencedirect.com/science/article/pii/S0185106315000232IgG4Sclerosing disease
spellingShingle Minerva Lazos-Ochoa
Some histopathological aspects of the disease related to IgG-4
Revista Médica del Hospital General de México
IgG4
Sclerosing disease
title Some histopathological aspects of the disease related to IgG-4
title_full Some histopathological aspects of the disease related to IgG-4
title_fullStr Some histopathological aspects of the disease related to IgG-4
title_full_unstemmed Some histopathological aspects of the disease related to IgG-4
title_short Some histopathological aspects of the disease related to IgG-4
title_sort some histopathological aspects of the disease related to igg 4
topic IgG4
Sclerosing disease
url http://www.sciencedirect.com/science/article/pii/S0185106315000232
work_keys_str_mv AT minervalazosochoa somehistopathologicalaspectsofthediseaserelatedtoigg4