Evidence map›Paper›PMID 38940718›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2024

Immunoglobulin G4-related thoracic disease: clinical and radiological findings of a Turkish cohort.

Aslı Alkan, Gamze Durhan, Gozde Kubra Yardimci, Umran Ozden Sertcelik, Bayram Farisogullari, Macit Ariyurek, Omer Karadag, Deniz Koksal

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Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Aslı AlkanYildirim Beyazit University, Yenimahalle Training and Research Hospital, Chest Diseases Clinic, Ankara, Turkey.
Gamze DurhanHacettepe University Faculty of Medicine, Department of Radiology, Ankara, Turkey.
Gozde Kubra YardimciHacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Hacettepe University Vasculitis Research Centre, Ankara, Turkey.
Umran Ozden SertcelikAnkara City Hospital, Chest Diseases Clinic, Ankara, Turkey.
Bayram FarisogullariHacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Hacettepe University Vasculitis Research Centre, Ankara, Turkey.
Macit AriyurekHacettepe University Faculty of Medicine, Department of Radiology, Ankara, Turkey.
Omer KaradagHacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Hacettepe University Vasculitis Research Centre, Ankara, Turkey.
Deniz KoksalHacettepe University Faculty of Medicine, Department of Chest Diseases, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThoracic involvement of Immunoglobulin G4-related disease (IgG4-RD) is relatively rare and may be disregarded at the time of initial diagnosis due to its asymptomatic nature. This study aimed to ascertain the prevalence and patterns of thoracic involvement in a retrospective cohort of Turkish patients with IgG4-RD.

methodsA total of 90 patients (47 males and 43 females, with a mean age of 57.7±15.5 years) diagnosed with IgG4-RD were reviewed retrospectively. All computed tomography (CT) scans were re-evaluated by two thoracic radiologists and IgG4-related thoracic disease was assessed on four compartments: The mediastinum, pulmonary parenchyma, airways, and pleura. IgG4-related thoracic disease was categorized as: definite, highly probable, probable or possible.

resultsThere were 64 patients who had undergone at least one thorax CT examination, and 18 (28%) were diagnosed with IgG4-related thoracic disease. The rate of IgG4-related thoracic disease increased by 20% and reached a ratio of 48.4% (n=31) after a thorough reevaluation of registry data specifically to thoracic findings. The mediastinum was the most frequently involved compartment, affecting 16 (51.6%) patients, followed by pulmonary parenchyma in 14 (45.2%) patients, and airways and pleura in 10 (32.3%) patients each. Other organ involvements were more prevalent and IgG4 levels were higher in patients with thoracic involvement. Eosinophils were significantly elevated in patients with thoracic involvement (p=0.023).

conclusionsIgG4-related thoracic disease is heterogeneous and likely to be more prevalent than currently recognized. The mediastinum is the most frequently involved compartment. It is important to assess IgG4-related thoracic disease at the time of initial diagnosis. Elevated levels of serum IgG4 and eosinophils, as well as a greater number of organ involvements may serve as indicators of thoracic involvement.

Identifiers

PMID38940718
PMCPMC11275537

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