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[摘要]
IgG4相关疾病(IgG4-RD)是一种新近被认识的与IgG4淋巴细胞密切相关的慢性、系统性疾病。累及眼部时,命名为IgG4眼部相关疾病(IgG4-ROD)。IgG4-ROD临床表现受侵犯部位影响,与其他累及器官相比具有独特的病理特征。随着近年对该疾病临床认识的深入,诊疗率不断提高。本文对IgG4-ROD的概念、流行病学、病因及发病机制、临床表现、组织病理学、影像学检查、实验室检查、诊断与鉴别诊断,以及治疗方面的研究进展进行综述。
[Key word]
[Abstract]
IgG4-RD is a newly recognized chronic and systemic disease. IgG4-positive plasma cells play a part in the occurrence and development of this disease. “IgG4-related ophthalmic disease(ROD)” was proposed for the involvement of eyes in general. The clinical manifestations of IgG4-ROD are various due to different involved parts and have unique pathologic features compared with other organs. With a better understanding on this disease in recent years, diagnosis and treatment rate has been improved. In this paper, we will discuss the definition, epidemiology, pathogenesis, clinicopathological features, diagnosis and differential diagnosis, serum biochemical indices, imaging examinations and treatment about IgG4-ROD.
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