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免疫球蛋白G4相关脊髓硬脊膜炎中的免疫球蛋白G4生物标志物与发病机制

Immunoglobulin G4 biomarkers and pathogenesis in immunoglobulin G4-related spinal pachymeningitis.

作者信息

Bouayad Abdellatif, El Oumri Ahmed Amine

机构信息

Laboratory of Immunology, Faculty of Medicine and Pharmacy Oujda, Mohammed First University, Oujda-Angad 4867, Oriental, Morocco.

Physical Medicine and Rehabilitation, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda-Angad 4867, Oriental, Morocco.

出版信息

World J Clin Cases. 2025 Aug 6;13(22):105331. doi: 10.12998/wjcc.v13.i22.105331.

DOI:10.12998/wjcc.v13.i22.105331
PMID:40771732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188826/
Abstract

This letter to the editor highlights adding the diagnostic utility of immunoglobulin G4 (IgG4) measurements and its potential role in IgG4-related spinal pachymeningitis (IgG4-RSP) pathogenesis to the case reported by Chae TS , which focused on IgG4-RSP diagnosis based on magnetic resonance imaging findings and increased plasma IgG4 concentrations. A comprehensive understanding of both IgG4 serological and cerebrospinal fluid biomarkers is essential for managing this complex condition.

摘要

这封给编辑的信强调了在Chae TS报道的病例中增加免疫球蛋白G4(IgG4)测量的诊断效用及其在IgG4相关脊髓硬脊膜炎(IgG4-RSP)发病机制中的潜在作用,该病例主要基于磁共振成像结果和血浆IgG4浓度升高来诊断IgG4-RSP。全面了解IgG4血清学和脑脊液生物标志物对于管理这种复杂疾病至关重要。

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Immunoglobulin G4 biomarkers and pathogenesis in immunoglobulin G4-related spinal pachymeningitis.免疫球蛋白G4相关脊髓硬脊膜炎中的免疫球蛋白G4生物标志物与发病机制
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本文引用的文献

1
Immunoglobulin G4-related spinal pachymeningitis: A case report.免疫球蛋白G4相关性硬脊膜肥厚:一例报告
World J Clin Cases. 2024 Nov 16;12(32):6551-6558. doi: 10.12998/wjcc.v12.i32.6551.
2
Intrathecal IgG4 synthesis in IgG4 related spinal hypertrophic pachymeningitis: a case report.IgG4相关性脊髓肥厚性硬脑膜炎中的鞘内IgG4合成:一例报告
Neurol Res Pract. 2024 Aug 29;6(1):43. doi: 10.1186/s42466-024-00343-2.
3
IgG4-Related Spinal Hypertrophic Pachymeningitis With Neurological Deficit: A Report of 2 Cases.IgG4 相关脊髓肥厚性硬脑膜炎伴神经功能缺损:2 例报告。
JBJS Case Connect. 2023 Jun 1;13(2). doi: e23.00024. eCollection 2023 Apr 1.
4
IgG4-related disease administered dupilumab: case series and review of the literature.IgG4 相关疾病应用度普利尤单抗:病例系列和文献复习。
RMD Open. 2023 Mar;9(1). doi: 10.1136/rmdopen-2023-003026.
5
Pachymeningitis associated with IgG4-related disease and ANCA positivity: Case report and review of the literature.与IgG4相关疾病及抗中性粒细胞胞浆抗体阳性相关的硬脑膜炎:病例报告及文献复习
Autoimmun Rev. 2023 Apr;22(4):103285. doi: 10.1016/j.autrev.2023.103285. Epub 2023 Feb 2.
6
IgG4-related hypertrophic pachymeningitis with ANCA-positivity: A case series report and literature review.IgG4相关性肥厚性硬脑膜炎伴抗中性粒细胞胞浆抗体阳性:病例系列报告及文献综述
Front Neurol. 2022 Sep 15;13:986694. doi: 10.3389/fneur.2022.986694. eCollection 2022.
7
IgG4-related hypertrophic pachymeningitis with tumor-like intracranial and intracerebral lesions.IgG4 相关肥厚性脑脊膜炎伴颅内和脑内肿瘤样病变。
Acta Neurochir (Wien). 2022 Oct;164(10):2781-2787. doi: 10.1007/s00701-022-05340-5. Epub 2022 Aug 17.
8
Neutralizing anti-IL-1 receptor antagonist autoantibodies induce inflammatory and fibrotic mediators in IgG4-related disease.中和抗白细胞介素 1 受体拮抗剂自身抗体可诱导 IgG4 相关疾病中的炎症和纤维化介质。
J Allergy Clin Immunol. 2022 Jan;149(1):358-368. doi: 10.1016/j.jaci.2021.05.002. Epub 2021 May 8.
9
Successful treatment of IgG4-related hypertrophic pachymeningitis with induction rituximab and dexamethasone followed by maintenance rituximab.采用利妥昔单抗和地塞米松诱导治疗,随后使用利妥昔单抗维持治疗,成功治愈IgG4相关性肥厚性硬脑膜炎。
Clin Case Rep. 2021 Jan 27;9(3):1610-1614. doi: 10.1002/ccr3.3855. eCollection 2021 Mar.
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