Multimodality Imaging Features of Immunoglobulin G4-related Vessel Involvement.

IF 3.8 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Radiology. Cardiothoracic imaging Pub Date : 2024-04-01 DOI:10.1148/ryct.230105
Aileen O'Shea, Rory K Crotty, Mangun Kaur Randhawa, George Oliveira, Cory A Perugino, John H Stone, Mukesh G Harisinghani, Zachary S Wallace, Sandeep S Hedgire
{"title":"Multimodality Imaging Features of Immunoglobulin G4-related Vessel Involvement.","authors":"Aileen O'Shea, Rory K Crotty, Mangun Kaur Randhawa, George Oliveira, Cory A Perugino, John H Stone, Mukesh G Harisinghani, Zachary S Wallace, Sandeep S Hedgire","doi":"10.1148/ryct.230105","DOIUrl":null,"url":null,"abstract":"<p><p>Immunoglobulin 4 (IgG4)-related disease is a chronic immune-mediated fibroinflammatory disorder. Involvement of the vascular system, including large- and medium-sized vessels, is increasingly recognized. The varied appearances of vascular involvement reflect the sequela of chronic inflammation and fibrosis and can include aortitis and periaortitis with resultant complications such as aneurysm formation and dissection. A diagnosis of IgG4-related large vessel involvement should be considered when there is known or suspected IgG4-related disease elsewhere. Other organs that are typically affected in IgG4-related disease include the lacrimal and salivary glands, thyroid, pancreas, biliary tree, lungs, kidneys, and meninges. Diagnosis typically requires careful correlation with clinical, imaging, serum, and pathologic findings. Patients may be managed with corticosteroid therapy or the anti-CD20 monoclonal antibody, rituximab, if needed. The varied clinical presentations and imaging features of large vessel involvement are discussed herein. <b>Keywords:</b> Vascular, Inflammation, Aorta, IgG4-related Vessel Involvement © RSNA, 2024.</p>","PeriodicalId":21168,"journal":{"name":"Radiology. Cardiothoracic imaging","volume":"6 2","pages":"e230105"},"PeriodicalIF":3.8000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11056752/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology. Cardiothoracic imaging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1148/ryct.230105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0

Abstract

Immunoglobulin 4 (IgG4)-related disease is a chronic immune-mediated fibroinflammatory disorder. Involvement of the vascular system, including large- and medium-sized vessels, is increasingly recognized. The varied appearances of vascular involvement reflect the sequela of chronic inflammation and fibrosis and can include aortitis and periaortitis with resultant complications such as aneurysm formation and dissection. A diagnosis of IgG4-related large vessel involvement should be considered when there is known or suspected IgG4-related disease elsewhere. Other organs that are typically affected in IgG4-related disease include the lacrimal and salivary glands, thyroid, pancreas, biliary tree, lungs, kidneys, and meninges. Diagnosis typically requires careful correlation with clinical, imaging, serum, and pathologic findings. Patients may be managed with corticosteroid therapy or the anti-CD20 monoclonal antibody, rituximab, if needed. The varied clinical presentations and imaging features of large vessel involvement are discussed herein. Keywords: Vascular, Inflammation, Aorta, IgG4-related Vessel Involvement © RSNA, 2024.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
免疫球蛋白 G4 相关血管受累的多模态成像特征
免疫球蛋白 4(IgG4)相关疾病是一种由免疫介导的慢性纤维炎症性疾病。越来越多的人认识到该病会累及血管系统,包括大血管和中血管。血管受累的表现多种多样,反映了慢性炎症和纤维化的后遗症,可包括主动脉炎和主动脉周围炎,并可导致动脉瘤形成和夹层等并发症。当已知或怀疑其他部位有 IgG4 相关疾病时,应考虑 IgG4 相关大血管受累的诊断。IgG4 相关疾病通常累及的其他器官包括泪腺和唾液腺、甲状腺、胰腺、胆道、肺、肾和脑膜。诊断通常需要与临床、影像学、血清和病理学检查结果仔细对照。必要时,患者可接受皮质类固醇治疗或抗CD20单克隆抗体利妥昔单抗治疗。本文讨论了大血管受累的不同临床表现和影像学特征。关键词血管 炎症 主动脉 IgG4 相关血管受累 © RSNA, 2024.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
20.40
自引率
1.40%
发文量
0
期刊介绍:
期刊最新文献
Accelerated Cardiac MRI with Deep Learning-based Image Reconstruction for Cine Imaging. Diagnostic Performance of AI-enabled Plaque Quantification from Coronary CT Angiography Compared with Intravascular Ultrasound. Cardiac MRI Pectoralis Muscle Thickness as a Measure of Sarcopenia: Prognostic Significance, Interreader Agreement, and Physiologic Correlation. Association of Aortic Stiffness with Heart Failure with Preserved Ejection Fraction: New Insights into the Ventriculoarterial Connection. Severe Quadricuspid Pulmonary Valve Stenosis Presenting as Scrotal Edema.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1