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与免疫球蛋白G4相关疾病的泌尿系统表现

Urological manifestations of the disease related to immunoglobulin G4.

作者信息

Carrillo-Córdova Luis Daniel, Carrillo-Córdova Carlos Alberto, Vitar-Sandoval Johnatan, Jaspersen-Álvarez Jorge, Villena-López Elba Luz, Carrillo-Esper Raúl

机构信息

Department of Urology, Hospital General de México Dr. Eduardo Liceaga. Mexico City. Mexico.

Faculty of Medicine, Universidad Nacional Autónoma de México. Mexico City. Mexico.

出版信息

Cir Cir. 2019;86(1):57-64. doi: 10.24875/CIRUE.M18000009.

Abstract

Immunoglobulin G4 related disease (IgG4-RD) is a fibro-inflammatory disease of unknown etiology, characterized by lesions in the form of tumors, elevated serum IgG4 levels, plasma cells with significant IgG4 infiltration, accompanied by phlebitis obliterans and fibrosis. This disease usually has multiorgan disease, including pancreas, biliary tract, salivary glands, peri orbital tissues, kidneys, lungs, lymph nodes and retro peritoneum. IgG4-RD mainly affects men with a predominance of age by young adults until old age. The clinical manifestations of IgG4-RD, depend mainly on the organs affected and the response to steroids. His forecast is not yet clear. Within the affected urogenital organs can be observed kidney, retroperitoneum, ureter, bladder, urachus, testis/epididymis, paratesticular region, prostate and urethra.

摘要

免疫球蛋白G4相关疾病(IgG4-RD)是一种病因不明的纤维炎症性疾病,其特征为肿瘤样病变、血清IgG4水平升高、有显著IgG4浸润的浆细胞,伴有闭塞性静脉炎和纤维化。这种疾病通常累及多器官,包括胰腺、胆道、唾液腺、眶周组织、肾脏、肺、淋巴结和腹膜后。IgG4-RD主要影响男性,发病年龄以青壮年直至老年为主。IgG4-RD的临床表现主要取决于受累器官以及对类固醇的反应。其预后尚不清楚。在泌尿生殖系统受累器官中,可观察到肾脏、腹膜后、输尿管、膀胱、脐尿管、睾丸/附睾、睾丸旁区域、前列腺和尿道。

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