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ACR on Air

IgG4-Related Disease

Jan 16, 2024
Dr. John Stone, premiere researcher in the field of IgG4-Related Disease, discusses the clinical presentation, diagnosis, treatment options, and ongoing research of the disease. Topics include the autoimmune nature of the disease, risk factors, effectiveness of B cell depletion therapy, curability and long-term disease remission, as well as other conditions with elevated IgG4 levels.
45:54

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Podcast summary created with Snipd AI

Quick takeaways

  • IgG4 related disease primarily affects multiple organs and can present with head and neck involvement, orbital disease, or painless masses in various locations, and diagnosis is aided by elevated serum IgG4 levels and classic radiological features.
  • Understanding the immunological mechanisms at play in IgG4 related disease provides insights into the interconnectedness of B and T cell responses, with B cell subsets presenting antigens to cytotoxic T cells and IgG4 acting as a non-inflammatory antibody to dampen the immune response.

Deep dives

Overview of IgG4 Related Disease

IgG4 related disease is a complex condition that has gained recognition in the medical community over the past decade. With a surge in literature and the establishment of classification criteria, the disease is now better understood. Dr. John Stone, a leading figure in the field, sheds light on the clinical presentation, diagnosis, and treatment options for IgG4 related disease. The disease can affect multiple organs, commonly presenting as head and neck involvement, orbital disease, or the presence of painless masses in various locations. Elevated serum IgG4 levels and classic radiological features can aid in the diagnosis. Treatment primarily focuses on B cell depletion therapy, which has shown efficacy in achieving long-term remission. Research is ongoing to better understand the pathophysiology, antigen triggers, and long-term outcomes of the disease.

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