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Immunglobulin G4-relateret sygdom er en sjaelden differentialdiagnose til maligne og autoimmune sygdomme
Engelsk titel: IgG4-related disease is a rare differential diagnosis of malignant and autoimmune diseases Läs online Författare: Detlefsen, Sönke ; Storgaard, Anders Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 16047222

Tidskrift

Ugeskrift for Laeger 2016;178(1)52-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Immunoglobulin G4-related disease (IgG4-RD) is an inflammatory and fibrotic disease with the potential to produce diffuse enlargement, massforming lesions or stenoses in a wide range of organs. Elevation of serum IgG4 concentration and high levels of IgG4-positive cells in the inflamed tissue are common denominators. Type 1 autoimmune pancreatitis is one of the main manifestations, and its recognition preceded the definition of IgG4-RD as a novel clinical entity. The aetiology, pathophysiology, epidemiology and clinical long-term outcome of IgG4-RD are not fully elucidated. Steroids are effective in most patients, sometimes combined with other anti-inflammatory drugs.