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Other Organs (Central Nervous System, Prostate)

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IgG4-Related Disease
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Abstract

IgG4-related disease (IgG4-RD) is a systemic lymphoproliferative disease characterized by elevated serum IgG4 values and increased numbers of IgG4-producing plasmacytic cells in tissues. Lesions may develop at sites throughout the body. The disease tends to target some organs frequently, e.g., the pancreas, lacrimal glands, salivary glands, kidneys, and retroperitoneum. Other organs, such as the central nervous system and prostate gland, are affected less frequently. In this chapter, we discuss the central nervous system lesions of hypertrophic pachymeningitis, hypophysitis, and intracerebral inflammatory pseudotumor, as well as the prostate lesions associated with IgG4-RD.

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References

  1. Chan SK, Cheuk W, Chan KT, Chan JKC. IgG4-related sclerosing pachymeningitis. A previously unrecognized form of central nervous system involvement in IgG4-related sclerosing disease. Am J Surg Pathol. 2009;33:1249–52.

    Article  PubMed  Google Scholar 

  2. Riku S, Hashizume Y, Yoshida M, Riku Y. Is hypertrophic pachymeningitis a Dural lesion of IgG4-related systemic disease? Rinshyo Shinkeigaku. 2009;49:594–6.

    Article  Google Scholar 

  3. Kosakai A, Yamada S, Ideta S, et al. A case of definite IgG4-related pachymeningitis. Neurology. 2010;75:1390–2.

    Article  PubMed  CAS  Google Scholar 

  4. Choi SH, Lee SH, Khang SK, Jeon SR. IgG4-related sclerosing pachymeningitis causing spinal cord compression. Neurology. 2010;75:1388–90.

    Article  PubMed  Google Scholar 

  5. Lindstrom KM, Cousar JB, Lopes MBS. IgG4-related meningeal disease: clinic-pathological features and proposal for diagnostic criteria. Acta Neuropathol. 2010;120:765–76.

    Article  PubMed  CAS  Google Scholar 

  6. Kim EH, Kim SH, Cho JM, et al. Immunoglobulin G4-related hypertrophic pachymeningitis involving cerebral parenchyma. J Neurosurg. 2011;115:1242–7.

    Article  PubMed  Google Scholar 

  7. Norikane T, Yamamoto Y, Okada M, et al. Hypertrophic cranial pachymeningitis with IgG4-positive plasma cells detected by C-11 methionine PET. Clin Nucl Med. 2012;37:108–9.

    Article  PubMed  Google Scholar 

  8. Yamashita H, Takahashi Y, Ishiura H, et al. Hypertrophic pachymeningitis and tracheobronchial stenosis in IgG4-related disease: case presentation and literature review. Intern Med. 2012;51(8):935–41.

    Article  PubMed  Google Scholar 

  9. Yamamoto M, Takahasi H, Ohara M, et al. A case of Mikulicz's disease (IgG4-related plasmacytic disease) complicated by autoimmune hypophysitis. Scand J Rheumatol. 2006;35:410–1.

    Article  PubMed  CAS  Google Scholar 

  10. Tanabe T, Tsushima K, Yasuo M, et al. IgG4-associated multifocal systemic fibrosis complicating sclerosing sialadenitis, hypophysitis, and retroperitoneal fibrosis, but lacking pancreatic involvement. Intern Med. 2006;45:1243–7.

    Article  PubMed  Google Scholar 

  11. Wong S, Lam WY, Wong WK, Lee KC. Hypophysitis presented as inflammatory pseudotumor in immunoglobulin G4-related systemic disease. Hum Pathol. 2007;38:1720–3.

    Article  PubMed  Google Scholar 

  12. Shimatsu A, Oki Y, Fujisawa I, Sano T. Pituitary and stalk lesions (infundibulo-hypophysitis) associated with immunoglobulin G4-related systemic disease: an emerging clinical entity. Endocr J. 2009;56:1033–41.

    Article  PubMed  Google Scholar 

  13. Hori M, Makita N, Andoh T, et al. Long-term clinical course of IgG4-related systemic disease accompanied by hypophysitis. Endocr J. 2010;57:485–92.

    Article  PubMed  Google Scholar 

  14. Nishioka H, Shibuya M, Haraoka J. Immunohistochemical study for IgG4-positive plasmacytes in pituitary inflammatory lesions. Endocr Pathol. 2010;21:236–41.

    Article  PubMed  CAS  Google Scholar 

  15. Leporati P, Landek-Salgado MA, Lupi I, et al. IgG4-related hypophysitis: a new addition to the hypophysitis spectrum. J Clin Endocrinol Metab. 2011;96:1971–80.

    Article  PubMed  CAS  Google Scholar 

  16. Landek-Salgado MA, Leporati P, Lupi I, et al. Growth hormone and proopiomelanocortin are targeted by autoantibodies in a patient with biopsy-proven IgG4-related hypophysitis. Pituitary. 2011 Sep;15(3):412–9.

    Article  Google Scholar 

  17. Moss HE, Mejico LJ, de la Roza G, et al. IgG4-related inflammatory pseudotumor of the central nervous system responsive to mycophenolate mofetil. J Neurol Sci. 2012 Jul 15;318(1–2):31–5.

    Article  PubMed  CAS  Google Scholar 

  18. Yoshimura Y, Takeda S, Ieki Y, et al. IgG4-associated prostatitis complicating autoimmune pancreatitis. Intern Med. 2006;45:897–901.

    Article  PubMed  Google Scholar 

  19. Nishimori I, Kohsaki T, Onishi S, et al. IgG4-related autoimmune prostatitis: two cases with or without autoimmune pancreatitis. Intern Med. 2007;46:1983–9.

    Article  PubMed  Google Scholar 

  20. Uehara T, Hamano H, Kawakami M, et al. Autoimmune pancreatitis-associated prostatitis: distinct clinicopathological entity. Pathol Int. 2008;58:118–25.

    Article  PubMed  Google Scholar 

  21. Umehara H, Okazaki K, Masaki Y, et al. Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD). Mod Rheumatol. 2012 Feb;22(1):1–14.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Yasufumi Masaki .

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© 2014 Springer Japan

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Masaki, Y., Kurose, N., Tonami, H., Umehara, H. (2014). Other Organs (Central Nervous System, Prostate). In: Umehara, H., Okazaki, K., Stone, J., Kawa, S., Kawano, M. (eds) IgG4-Related Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54228-5_17

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  • DOI: https://doi.org/10.1007/978-4-431-54228-5_17

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54227-8

  • Online ISBN: 978-4-431-54228-5

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