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IgG4-related systemic disease

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]

Overview

Overview

IgG4-related systemic disease (IgG4-RSD), also known as hyper-IgG4 disease and IgG4-related disease is a disease in which inflammatory cells cause fibrosis, the deposition of connective tissue, in one or more organs. The disease is so named because the antibody subtype IgG4 can be detected on tissue samples and often at elevated levels in the bloodstream. The association with IgG4 is a relatively recent finding, and the condition has been described under numerous other names in the past. Diseases such as autoimmune pancreatitis, retroperitoneal fibrosis, mediastinal fibrosis, Riedel’s thyroiditis, Mikulicz’s syndrome, Kuttner’s tumor and inflammatory pseudotumor are now regarded as forms of IgG4-RSD.[1] [2]

Historical Perspective

Historical Perspective

Classification

Classification

Pathophysiology

Pathophysiology

Causes

Causes

Differentiating IgG4-related Systemic Diseases from other Diseases
Epidemiology and Demographics

Epidemiology and Demographics

Age

Gender

Race

Risk Factors

Risk Factors

Natural History, Complications and Prognosis

Natural History, Complications and Prognosis

Diagnosis

Diagnosis

Diagnostic Criteria

Symptoms

Physical Examination

Laboratory Findings

Imaging Findings

Other Diagnostic Studies

Treatment

Treatment

Medical Therapy

Surgery

Prevention

References

References

  1. Khosroshahi A, Stone JH (2011). “A clinical overview of IgG4-related systemic disease”. Curr Opin Rheumatol. 23 (1): 57–66. doi:10.1097/BOR.0b013e3283418057. PMID 21124086. Unknown parameter |month= ignored (help)
  2. Stone JH (2012). “IgG4-Related Disease”. New England Journal of Medicine. 336 (6): 539–51. doi:10.1056/NEJMra1104650. PMID 22316447. Unknown parameter |month= ignored (help)

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