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IgG4-related disease
by
Zen, Yoh
, Pillai, Shiv
, Stone, John H
, Kamisawa, Terumi
in
Biopsy
/ Disease
/ Epidemiology
/ Female
/ Fibrosis - pathology
/ Glucocorticoids - therapeutic use
/ Histopathology
/ Humans
/ Immune system
/ Immune System Diseases - diagnosis
/ Immune System Diseases - drug therapy
/ Immune System Diseases - pathology
/ Immunoglobulin G - immunology
/ Immunoglobulins
/ Internal Medicine
/ Lymphatic system
/ Lymphocytes - pathology
/ Male
/ Medical treatment
/ Pathology
/ Phlebitis - pathology
/ Plasma
/ Plasma Cells - pathology
2015
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IgG4-related disease
by
Zen, Yoh
, Pillai, Shiv
, Stone, John H
, Kamisawa, Terumi
in
Biopsy
/ Disease
/ Epidemiology
/ Female
/ Fibrosis - pathology
/ Glucocorticoids - therapeutic use
/ Histopathology
/ Humans
/ Immune system
/ Immune System Diseases - diagnosis
/ Immune System Diseases - drug therapy
/ Immune System Diseases - pathology
/ Immunoglobulin G - immunology
/ Immunoglobulins
/ Internal Medicine
/ Lymphatic system
/ Lymphocytes - pathology
/ Male
/ Medical treatment
/ Pathology
/ Phlebitis - pathology
/ Plasma
/ Plasma Cells - pathology
2015
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Do you wish to request the book?
IgG4-related disease
by
Zen, Yoh
, Pillai, Shiv
, Stone, John H
, Kamisawa, Terumi
in
Biopsy
/ Disease
/ Epidemiology
/ Female
/ Fibrosis - pathology
/ Glucocorticoids - therapeutic use
/ Histopathology
/ Humans
/ Immune system
/ Immune System Diseases - diagnosis
/ Immune System Diseases - drug therapy
/ Immune System Diseases - pathology
/ Immunoglobulin G - immunology
/ Immunoglobulins
/ Internal Medicine
/ Lymphatic system
/ Lymphocytes - pathology
/ Male
/ Medical treatment
/ Pathology
/ Phlebitis - pathology
/ Plasma
/ Plasma Cells - pathology
2015
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Journal Article
IgG4-related disease
2015
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Overview
IgG4-related disease is a protean condition that mimics many malignant, infectious, and inflammatory disorders. This multi-organ immune-mediated condition links many disorders previously regarded as isolated, single-organ diseases without any known underlying systemic condition. It was recognised as a unified entity only 10 years ago. Histopathology is the key to diagnosis. The three central pathology features of IgG4-related disease are lymphoplasmacytic infiltration, storiform fibrosis, and obliterative phlebitis. The extent of fibrosis is an important determinant of responsiveness to immunosuppressive therapies. IgG4-related disease generally responds to glucocorticoids in its inflammatory stage, but recurrent or refractory cases are common. Important mechanistic insights have been derived from studies of patients treated by B-cell depletion. Greater awareness of this disease is needed to ensure earlier diagnoses, which can prevent severe organ damage, disabling tissue fibrosis, and even death. Identification of specific antigens and T-cell clones that drive the disease will be the first steps to elucidate the pathogenesis of IgG4-related disease.
Publisher
Elsevier Ltd,Elsevier Limited
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