Open AccessImmunoglobulin G4-related ophthalmic disease
Author(s) -
Wen-Chung Yu,
Chieh Chih Tsai,
SungShuo Kao,
Catherine Jui-Ling Liu
Publication year - 2018
Publication title -
taiwan journal of ophthalmology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.4103/tjo.tjo_12_17
Subject(s) - medicine , igg4 related disease , disease , etiology , pathology , lymphoma , lymphoplasmacytic lymphoma , fibrosis , antibody , dermatology , immunology , waldenstrom macroglobulinemia
Immunoglobulin G4-related disease (IgG4-RD) is a recently recognized inflammatory disease of unknown etiology. It characterized by distinctive histopathological appearance of dense IgG4-positive lymphoplasmacytic infiltrates, storiform fibrosis, and obliterative phlebitis in one or more organs, simultaneously or subsequently. In cases of ocular adnexal involvement, unique clinicohistopathological features were delineated by recent studies, and IgG4-related ophthalmic disease (IgG4-ROD) is generally recognized as the disease name. A significant proportion of previous labeled idiopathic orbital inflammations and Mikulicz's disease are now consistent with a diagnosis of IgG4-ROD. Increasing studies have accumulated regarding its epidemiology, diagnosis, clinical features, treatment, and the association between lymphoma. In this review, we summarize our present understanding of IgG4-ROD.