Scopus
Coexistence of IgG4-related disease and ANCA-associated vasculitis: case report and review of the literature
Rheumatology International · Mart 2024
Makale Bilgileri
DergiRheumatology International
Yayın TarihiMart 2024
Cilt / Sayfa44 · 557-572
Scopus ID2-s2.0-85169105664
Özet
IgG4-related disease (IgG4-RD) is a fibroinflammatory condition that is characterized by storiform fibrosis, infiltration of IgG4-positive lymphocytes, obliterative phlebitis, and high IgG4 levels. Since IgG4-RD affects a wide variety of organs, a differential diagnosis must include multiple conditions. IgG4-RD is also believed to coexist with certain diseases. In recent years, case reports and case series describing the co-occurrence of IgG4-RD and ANCA-associated vasculitis (AAV) have been published. We intended to evaluate patients with IgG4-RD and AAV overlap in the literature using a case similar to one that was diagnosed and monitored in our department. We searched the databases of Web of Science, Scopus, and Google Scholar as well as PubMed with the keywords ANCA, IgG4, IgG4-RD, granulomatosis with polyangiitis, Wegener’s granulomatosis, microscopic polyangiitis, Eosinophilic granulomatosis with polyangiitis, and Churg–Strauss syndrome. Cases and Case series addressing the coexistence of IgG4-RD and AAV have been selected. Comprehensive diagnostic criteria are used to diagnose IgG4-RD. The Chapel Hill Consensus Conference nomenclature criteria were used for the inclusion of AAV. Out of a total of 910 publications, 20 articles, including 65 cases, were found to be eligible. Forty-seven cases with IgG4-RD were evaluated as definitive (71.2%), 10 cases as probable (15.1%), and 9 cases as possible IgG4-RD (13.6%). 26 patients were diagnosed with GPA, 1 patient with localized GPA, 23 patients with MPA, and 4 patients with EGPA. The aorta, lacrimal tissue, pancreas, and retroperitoneum are the sites of IgG4-RD rather than AAV. AAV and IgG4-RD might coexist in the same patient. IgG4-RD is mainly associated with GPA.
Yazarlar (4)
1
Cengiz Korkmaz
2
Reşit Yıldırım
ORCID: 0000-0003-4040-0212
3
Mustafa Dinler
ORCID: 0000-0002-8133-8278
4
Döndü Üsküdar Cansu
ORCID: 0000-0001-6543-3905
Anahtar Kelimeler
ANCA-associated vasculitis
IgG4-related disease
Overlap
Polyangiitis with granulomatosis
Kurumlar
Eskişehir Osmangazi Üniversitesi
Eskisehir Turkey
Metrikler
4
Atıf
4
Yazar
4
Anahtar Kelime