透過您的圖書館登入
IP:216.73.216.60
  • 期刊

偉大的模仿者:IgG4相關性疾病

摘要


IgG4相關性疾病是這十年來一種新的多重器官影響、多重系統性表現的疾病,此疾病常見特徵為IgG4血清濃度大於135mg/dl、受侵犯組織有大量IgG4陽性漿細胞浸潤、席紋樣纖維化(storiform fibrosis)、閉塞性靜脈炎(obliterative phlebitis)。診斷主要由臨床表現以及組織切片的病理結果。治療主要是使用皮質性類固醇以及免疫抑制劑,對於治療反應不佳的患者可以考慮採用抗B細胞治療。

參考文獻


Hamano H, Kawa S, Horiuchi A, et al. High serum IgG4 concentrations in patients with sclerosing pancreatitis. N Engl J Med 2001;344:732-38.
Umehara H, Okazaki K, Masaki Y, et al, and the Research Program for Intractable Disease by Ministry of Health, Labor and Welfare(MHLW) Japan G4 team. A novel clinical entity, IgG4-related disease(IgG4RD): general concept and details. Mod Rheumatol 2012;22
Kamisawa T, Egawa N, Nakajima H. Autoimmune pancreatitis is a systemic autoimmune disease. Am J Gastroenterol 2003;98:2811-12.
Kamisawa T, Zen Y, Pillai S, et al. IgG4-related disease. Lancet 2015;385:1460-71.
Ota M, Katsuyama Y, Hamano H, et al. Two critical genes(HLA-DRB1 and ABCF1)in the HLA region are associated with the susceptibility to autoimmune pancreatitis. Immunogenetics 2007;59:45-52

延伸閱讀