IgG4-Related Disease With Gastrointestinal Involvement: Case Reports and Literature Review

Front Immunol. 2022 Mar 10:13:816830. doi: 10.3389/fimmu.2022.816830. eCollection 2022.

Abstract

IgG4-related disease is an immune-mediated chronic, systemic, and autoinflammatory disease that can affect various organs throughout the body. The most commonly affected areas are the pancreas and biliary system. Due to the diverse clinical manifestations of the disease, it affects widely distributed organs. Thus, it is often easy to misdiagnose or miss. The digestive tract is a rarely affected system, and most IgG4-related gastric diseases manifest as tumors detected by endoscopy. This article reports two special cases with IgG4-related disease involving atrophic gastritis and intestinal polyps to provide a more empirical and theoretical basis for clinical diagnosis and treatment.

Keywords: IgG4-related disease; IgG4-related gastric disease; IgG4-related sclerosing cholangitis; atrophic gastritis; autoimmune diseases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cholangitis, Sclerosing* / diagnosis
  • Gastritis, Atrophic* / diagnosis
  • Humans
  • Immunoglobulin G / therapeutic use
  • Immunoglobulin G4-Related Disease* / diagnosis

Substances

  • Immunoglobulin G