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颈部淋巴结、甲状腺炎和眼病:免疫球蛋白 G4 相关疾病的多形性表现。

Cervical lymph nodes, thyroiditis and ophthalmopathy: the pleomorphic face of an immunoglobulin g4-related disease.

机构信息

Department of Endocrinology, Universitair Ziekenhuis Brussel, Brussels, Belgium.

Department of Pathology, Université Libre de Bruxelles, Brussels, Belgium.

出版信息

Eur Thyroid J. 2014 Dec;3(4):252-7. doi: 10.1159/000369204. Epub 2014 Nov 29.

Abstract

We report a case of immunoglobulin G4-related disease (IgG4-RD) presenting with a clinical course suggestive of fibrosing thyroiditis and endocrine ophthalmopathy associated with enlarged cervical lymph nodes. This clinical presentation should prompt a search for associated systemic disorders, including an IgG4-RD. The clue to the exact diagnosis of the underlying disease is histological examination showing an IgG4 plasmatocytic infiltrate in the inflammatory organs involved.

摘要

我们报告了一例免疫球蛋白 G4 相关疾病(IgG4-RD),其临床表现提示纤维性甲状腺炎和内分泌性眼病,伴有颈淋巴结肿大。这种临床表现应提示寻找相关的系统性疾病,包括 IgG4-RD。明确诊断基础疾病的线索是组织学检查显示受累炎症器官中有 IgG4 浆细胞浸润。

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本文引用的文献

1
Clinical features of a new disease concept, IgG4-related thyroiditis.一种新疾病概念 IgG4 相关甲状腺炎的临床特征。
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Fibrosing variant of Hashimoto thyroiditis is an IgG4 related disease.纤维型桥本甲状腺炎是一种 IgG4 相关疾病。
J Clin Pathol. 2012 Aug;65(8):725-8. doi: 10.1136/jclinpath-2011-200485. Epub 2012 Jun 1.
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IgG4-related disease.IgG4相关性疾病
N Engl J Med. 2012 Feb 9;366(6):539-51. doi: 10.1056/NEJMra1104650.
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Clinical review: Riedel's thyroiditis: a clinical review.临床综述:雷德尔甲状腺炎:临床综述。
J Clin Endocrinol Metab. 2011 Oct;96(10):3031-41. doi: 10.1210/jc.2011-0617. Epub 2011 Aug 10.

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