The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

226. Don't Ignore IgG4 - Approach to IgG4 Related Disease

Mar 3, 2024
Exploring the immune-mediated nature of IgG4 related diseases, diagnostic approach, comprehensive workup required for diagnosis, treatment strategies including B cell targeted therapy, and classification criteria for IgG4-related disease
12:04

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Quick takeaways

  • IgG4 Related Disease is a systemic entity affecting multiple organs with immune-mediated responses involving B and T cells.
  • Diagnosis and management of IgG4 related disease require a comprehensive evaluation encompassing various tests, imaging studies, and therapeutic strategies.

Deep dives

Understanding IgG4 Related Disease

Immunoglobulin G4, or IgG4 related disease, was reclassified in 2003 as a systemic disease entity linking various conditions like autoimmune pancreatitis, sclerosing cholangitis, and thyroiditis. The disease involves immune-mediated multi-organ responses with B cells and T cells contributing to lymphoplasmacytic infiltrations and fibrosis. Treatment aims to induce disease remission, prevent relapse, and preserve organ function.

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