[唾液腺疾病:考虑IgG4相关疾病]
Nederlands tijdschrift voor tandheelkunde
|April 9, 2024
概括
一名73岁的男子被诊断出患有IgG4相关的疾病,这是一种罕见的疾病,导致唾液和眼腺无痛胀,经常伴有口腔和眼睛干燥. 这种情况突出显示了IgG4-RDD.
科学领域:
- 风湿病学和免疫学
- 眼科和耳鼻喉科的眼科和耳鼻喉科.
背景情况:
- 免疫球蛋白G4相关疾病 (IgG4-RD) 是一种多系统纤维炎症疾病.
- IgG4-RD可以影响各种器官,包括唾液和眼腺,呈现无痛的胀.
- 头部和部的表现很常见,经常模仿其他情况.
研究的目的:
- 在73岁的男性中诊断出IgG4相关疾病的病例.
- 为了突出IgG4相关疾病在头部和部区域的临床表现.
- 强调这种罕见的系统性疾病的诊断方法.
主要方法:
- 一个73岁的男性的临床表现审查,唾液腺胀和口腔干燥.
- 诊断程序包括腺活检和血清学检查.
- 组织病理学和血清学发现与诊断相关.
主要成果:
- 患者出现了无痛的,双侧下下和单侧右腺胀.
- 口腔干燥是一个显著的伴随症状.
- 诊断证实为IgG4相关的疾病,基于活检和血清学结果.
结论:
- 与IgG4相关的疾病可以表现为无痛的唾液腺扩大和异口症.
- 通过活检和血清学早期诊断对于管理这种全身性疾病至关重要.
- 识别头症状对于识别IgG4相关疾病至关重要.
相关概念视频
Salivary Glands and Saliva
664
The salivary glands, of which there are three pairs known as the parotid, submandibular, and sublingual glands, play a crucial role in maintaining oral health and initiating the digestive process. Positioned near the ears, beneath the masseter muscle, the parotid glands secrete saliva into the oral cavity through the parotid duct of Stensen. Meanwhile, the submandibular glands, located on the floor of the mouth, secrete saliva through channels named submandibular ducts. The sublingual glands,...
664
Gastritis-II: Pathophysiology
322
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...
322
Other Disorders of Digestive System
825
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...
825
Transcytosis of IgG
2.7K
Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
2.7K
What is Monogastric Digestion?
71.1K
The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
71.1K
Myasthenia Gravis: Overview and Treatment
1.4K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.4K


