IgG4-related disease: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

IgG4-related disease: management. Serum IgG4 levels are elevated. Fully referenced neurology checklist.

Blood tests

  • Serum IgG4 levels are elevated

Imaging

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Cerebrospinal fluid (CSF) analysis

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Histopathology

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Treatment

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Treatment of refractory cases with Rituximab

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References

  1. Huijbers MG, Querol LA, Niks EH, et al. The expanding field of IgG4-mediated neurological autoimmune disorders. Eur J Neurol 2015; 22:1151-1161.
  2. Dalmau J. Name a brain protein, and an autoantibody shall be found! Neurol Neuroimmunol Neuroinflamm 2015; 2:e159.
  3. Massey J. IgG4-related hypertrophic pachymeningitis coexpressing antineutrophil cytoplasmic antibodies. Neurol Neuroimmunol Neuroinflamm. 2017; 4:e341.
  4. Baptista B, Casian A, Gunawardena H, D'Cruz D, Rice CM. Neurological Manifestations of IgG4-Related Disease. Curr Treat Options Neurol 2017; 19:14.  
  5. Taniguchi T, Hamasaki A, Okamoto M. A case of suspected lymphocytic hypophysitis and organizing pneumonia during maintenance therapy for autoimmune pancreatitis associated with autoimmune thrombocytopenia. Endocr J 2006; 53:563-566.
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