IgG4自身免疫性疾病伪装成口腔
Patrik Schmidt1, Abeer Qasim1, Husnain R Ali2
1Internal Medicine, BronxCare Health System, Bronx, USA.
Cureus
|August 28, 2023
概括
免疫球蛋白G4相关疾病 (IgG4-RD) 是一种罕见的自身免疫性疾病. 这一案例突显出IgG4-RD与鼻腔和口腔症状的异常呈现,强调了迅速诊断的必要性.
科学领域:
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种多器官,免疫介导的疾病,其特征是IgG4阳性血细胞透,纤维化和.
- 它的致病性涉及2型T辅助细胞和调节性T细胞,尽管机制尚不清楚.
- 由于类似的病变呈现,患者经常被误诊为恶性瘤,感染或其他免疫疾病.
研究的目的:
- 在年轻的女性患者中报告IgG4相关疾病 (IgG4-RD) 的非典型表现.
- 强调在差异诊断中考虑IgG4-RD的重要性,即使有不寻常的症状.
主要方法:
- 一个38岁的女性鼻腔隔膜侵蚀和口腔管的临床表现审查.
- 诊断工作包括鼻腔培养和鼻腔活检.
- 确认IgG4相关的自身免疫性疾病.
主要成果:
- 该患者出现了模仿感染的症状,鼻培养对Klebsiella ozaena呈阳性.
- 鼻子活检证实了IgG4相关的自身免疫性疾病的诊断,揭示了非典型的呈现.
- 这一案例突出了由于IgG4-RD的各种表现而导致的诊断挑战.
结论:
- 与IgG4相关的疾病可以呈现异常,从而带来诊断挑战.
- 早期识别和诊断IgG4-RD对于及时治疗和预防严重器官损伤至关重要.
- 这一案例强调了在患有无法解释的炎症病症的患者中需要广泛的差异诊断的需要.
相关概念视频
Autoimmune Disorders
492
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
492
Chronic Bowel Disorders: Introduction
485
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
485
Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
349
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
349
Other Disorders of Digestive System
865
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
865
Gastritis-II: Pathophysiology
371
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
371
Inflammatory Bowel Disease II: Crohn's Disease
285
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
285


