International Consensus Guidance Statement on the Management and Treatment of IgG4‐Related Disease

@article{Khosroshahi2015InternationalCG,
  title={International Consensus Guidance Statement on the Management and Treatment of IgG4‐Related Disease},
  author={Arezou Khosroshahi and Zachary Scott Wallace and Jayne Littlejohn Crowe and Takashi Akamizu and Atsushi Azumi and Mollie N Carruthers and Suresh T Chari and Emanuel Della-Torre and Luca Frulloni and Hiroshi Goto and Philip A. Hart and Terumi Kamisawa and Shigeyuki Kawa and M Kawano and M. H. Kim and Yuzo Kodama and Kazuko Kubota and Markus M. Lerch and Matthias L{\"o}hr and Yasufumi Masaki and Shoko Matsui and Tsuneyo Mimori and S. Nakamura and Takuro Nakazawa and H. Ohara and Kazuyuki Okazaki and Jay H. Ryu and Takako Saeki and Nicolas Schleinitz and Akira Shimatsu and Toru Shimosegawa and H. Takahashi and Masayuki Takahira and Atsushi Tanaka and Mark D. Topazian and Hisanori Umehara and G. J. M. Webster and Thomas E. Witzig and M Yamamoto and W Zhang and Tsukasa Chiba and John H. Stone},
  journal={Arthritis \& Rheumatology},
  year={2015},
  volume={67}
}
A. Khosroshahi, Z. S. Wallace, J. L. Crowe, T. Akamizu, A. Azumi, M. N. Carruthers, S. T. Chari, E. Della-Torre, L. Frulloni, H. Goto, P. A. Hart, T. Kamisawa, S. Kawa, M. Kawano, M. H. Kim, Y. Kodama, K. Kubota, M. M. Lerch, M. L€ ohr, Y. Masaki, S. Matsui, T. Mimori, S. Nakamura, T. Nakazawa, H. Ohara, K. Okazaki, J. H. Ryu, T. Saeki, N. Schleinitz, A. Shimatsu, T. Shimosegawa, H. Takahashi, M. Takahira, A. Tanaka, M. Topazian, H. Umehara, G. J. Webster, T. E. Witzig, M. Yamamoto, W. Zhang, T… 
Current approach to the diagnosis of IgG4-related disease – Combination of comprehensive diagnostic and organ-specific criteria
TLDR
The current optimal approach for the diagnosis of IgG4-RD is described, based on both comprehensive and organ-specific diagnostic criteria, in patients with diseases such as IgG 4-related pancreatitis (AIP), sclerosing cholangitis, and renal, lung and orbital diseases.
Recognizing IgG4-related tubulointerstitial nephritis
TLDR
IgG4-TIN is a distinct and emerging subtype of interstitial nephritis and Nephrologists must be aware of this entity and how to definitively diagnose and treat it.
New strategies for the treatment of IgG4-related disease.
  • Motohisa Yamamoto
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    Nihon Rinsho Men'eki Gakkai kaishi = Japanese journal of clinical immunology
  • 2016
TLDR
The new strategies for the treatment of IgG4-related disease with the data of SMART registry are reviewed, and the problems of each biologic agents for IgG 4- related disease are discussed.
IgG4-Related Diseases in the Gastrointestinal Tract: Clinical Presentation, Diagnosis and Treatment Challenges
TLDR
While the diagnosis of IgG4-related diseases is still challenging, there have been significant improvements in diagnostic as well as in therapeutic approaches, partially due to a better understanding of the pathophysiology of the disease but also due to improved imaging modalities and novel, more targeted therapies.
Clinical and Pathological Characteristics of IgG4-related Periaortitis/Periarteritis and Retroperitoneal Fibrosis Diagnosed Based on Experts’ Diagnosis
TLDR
This paper aims to provide a history of Japan's nuclear power industry from 1910 to 1945, a period chosen in order to explore itsigenicity and its role in the design of atomic bombs.
Erdheim-Chester Disease as a Mimic of IgG4-Related Disease
TLDR
Examination of serum and tissue IgG4 in a series of 15 ECD patients evaluated at the center found that approximately one-fourth of the cases have increased IgG 4 in the serum and often in the tissue, which suggests the possibility of common pathogenic mechanisms between ECD and Igg4RD.
IgG4-related diseases: state of the art on clinical practice guidelines
TLDR
A narrative review of a systematic literature research aimed at evaluating existing clinical practice guidelines (CPGs) and recommendations in IgG4-RD finds areas of unmet needs include the difficulties in diagnosis, management and monitoring and the scarcity of expert centres.
IgG4-related disease with multiorgan involvement: a case-based review
TLDR
A case of a patient with IgG4-RD who had involvement of multiple organs: the kidneys, lymph nodes, bone marrow, lungs, liver, and small intestine, and the four domains as discussed in the new 2019 ACR/EULAR classification criteria are discussed.
[IGG4-related diseases in endocrinology].
TLDR
The etiology, pathogenesis, and current methods of diagnosis and treatment of IgG4-related diseases, as well as examples of some manifestations of Igg4-RD that an endocrinologist may face in practice are provided.
A rare case report of immunoglobulin G4-related sclerosing mesenteritis and review of the literature
TLDR
This case highlights the mesentery as an uncommon site of involvement as well as how early IgG-related SM can be completely asymptomatic, and may improve treatments for similar conditions.
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References

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Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations.
TLDR
John H. Stone, Arezou Khosroshahi, Vikram Deshpande, John K.Stone, Masayuki Takahira, Hisanori Umehara, George Webster, Motohisa Yamamoto, Eunhee Yi, Tadashi Yoshino, Giuseppe Zamboni, Yoh Zen, and Suresh Chari.
Consensus statement on the pathology of IgG4-related disease
TLDR
This statement proposes a terminology scheme for the diagnosis of IgG4-related disease that is based primarily on the morphological appearance on biopsy, and advocates the use of strict criteria for accepting newly proposed entities or sites as components of the IgG 4- related disease spectrum.
IgG4-related Sclerosing Disease: A Critical Appraisal of an Evolving Clinicopathologic Entity
An elevated serum titer of immunoglobulin G4 (IgG4), the least common (3% to 6%) of the 4 subclasses of IgG, is a surrogate marker for the recently characterized IgG4-related sclerosing disease. The
Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011
TLDR
The comprehensive diagnostic criteria for IgG4-RD are practically useful for general physicians and nonspecialists and have increased the sensitivity of diagnosis to 100% for Igg4-related MD, KD, and AIP.
IgG4-related disease in a Chinese cohort: a prospective study
TLDR
IgG4-RD patients generally response well to glucocorticoids but the treatment should be individualized, as this is a chronic, systemic, multiorgan inflammatory disorder.
A new clinicopathological entity of IgG4-related autoimmune disease
TLDR
It is suggested that AIP is not simply pancreatitis but that it is a pancreatic lesion involved in IgG4-related systemic disease with extensive organ involvement, and a new clinicopathological entity is proposed.
Proposal for diagnostic criteria for IgG4-related kidney disease
TLDR
The provisional criteria and algorithm appear to be useful for clarifying the entity of IgG 4-RKD and seeking underlying IgG4- RKD cases; however, further experience is needed to confirm the validity of these criteria.
IgG4-Related Systemic Disease: Features and Treatment Response in a French Cohort: Results of a Multicenter Registry
TLDR
The clinical, laboratory, and histologic characteristics of 25 patients from a French nationwide cohort suggest a more broad polyclonal B cell activation in IgG4-related systemic disease, probably at least in part under the control of T helper follicular cells.
The clinical course of patients with IgG4-related kidney disease.
TLDR
The response of IgG4-related kidney disease to corticosteroids is rapid, not total, and the recovery of renal function persists for a relatively long time under low-dose maintenance, suggesting a large-scale prospective study to formulate more useful treatment strategies is necessary.
Development of an IgG4-RD Responder Index
TLDR
A prototype IgG4-RD Responder Index was developed based on the approach used in the development of the Birmingham Vasculitis Activity Score for Wegener's granulomatosis (BVAS/WG), and future plans for validation of this instrument as an outcome measure are described.
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