betway必威登陆网址 (betway.com )学报››2023,Vol. 44››Issue (6): 477-480.DOI:10.3969/j.issn.2097-0005.2023.06.015

• 综述 •上一篇

IgG4相关胸膜疾病的研究进展

郭青1(), 任玥1, 郭加专1, 蒋胜华2()

  1. 1.济宁医学院临床医学院,山东 济宁 272100
    2.济宁医学院附属医院呼吸与危重症医学科,山东 济宁 272100
  • 收稿日期:2022-12-29出版日期:2023-06-25发布日期:2023-07-11
  • 通讯作者:蒋胜华
  • 作者简介:郭青,硕士研究生,研究方向:内科学,E-mail:949554167@qq.com
  • 基金资助:
    山东省中医药科技项目(2019-0488);济宁医学院附属医院博士基金(2020-BS-011)

Research progress of IgG4-related pleural disease

Qing GUO1(), Yue REN1, Jiazhuan GUO1, Shenghua JIANG2()

  1. 1.College of Clinical Medicine,Jining Medical University,Jining 272100,China
    2.Department of Respiratory and Critical Care Medicine,Affiliated Hospital of Jining Medical University,Jining 272100,China
  • Received:2022-12-29Online:2023-06-25Published:2023-07-11
  • Contact:Shenghua JIANG

摘要:

免疫球蛋白G4(recombinant immunoglobulin, IgG4)相关胸膜疾病是IgG4相关性疾病(IgG4 related disease, IgG4‐RD)主要累及胸膜的病变,可单发或同时累及胸膜外的组织、器官。IgG4相关胸膜疾病的主要特征为胸膜增厚和胸腔积液。其临床诊断困难,PET-CT、电子胸腔镜的临床应用,提高了IgG4相关胸膜疾病的诊断率。糖皮质激素是IgG4相关胸膜疾病的一线治疗方法。本文主要就IgG4相关胸膜疾病的临床表现、诊断、治疗进行综述。

关键词:IgG4相关性疾病,胸膜,诊断,治疗

Abstract:

IgG4-related disease (IgG4-RD) is a chronic systemic and progressive autoimmune disease involving multiple organs or tissues, mainly involving pleural lesions, which can be single or pleural tissues and organs at the same time. The main characteristic of IgG4-related pleural disease are pleural thickening and pleural effusion. Due to the lack of characteristic clinical manifestations, the diagnosis is difficult, but the clinical application of PET-CT and electronic thoracoscopy improves IgG4-related the diagnosis of pleural diseases. Glucocorticoid is the first line IgG4 related pleural disease treatment. This article mainly IgG4 reviews pleural disease clinical manifestations, diagnosis and treatment.

Key words:IgG4-related diseases,pleural,diagnosis,treatment