Evidence map›Paper›PMID 40195520›Full record

ReviewNature reviews. Rheumatology2025

IgG4-related disease and other fibro-inflammatory conditions.

Francesco Peyronel, Emanuel Della-Torre, Federica Maritati, Maria L Urban, Ingeborg Bajema, Nicolas Schleinitz, Augusto Vaglio

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. [IgG4-related disease presenting with involvement of the eyes, pituitary gland and nervous system: A case report].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Obexelimab reduces the risk of IgG4-RD flare.Nature reviews. Rheumatology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Targeting FcRn for immunomodulation: a promising therapy in autoimmune inflammatory rheumatic diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  13. Article
  14. [EJNMMI research · 2026
    Article
  15. An update on hypophysitis.Nature reviews. Endocrinology · 2026
    Review
  16. IgG4 surge predicts relapse in IgG4-RD.Nature reviews. Rheumatology · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesco PeyronelNephrology and Dialysis Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Emanuel Della-TorreUniversity Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Federica MaritatiNephrology, Dialysis and Kidney Transplant Unit, IRCCS-Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Maria L UrbanDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Ingeborg BajemaDepartment of Pathology and Medical Biology, University Medical Centre Groningen, Groningen, The Netherlands.
Nicolas SchleinitzAssistance Publique-Hôpitaux de Marseille, Aix-Marseille Université, Department of Internal Medicine Hôpital Timone, Marseille, France.ORCID http://orcid.org/0000-0001-9449-3392
Augusto VaglioNephrology and Dialysis Unit, Meyer Children's Hospital IRCCS, Florence, Italy. augusto.vaglio@unifi.it.ORCID http://orcid.org/0000-0002-3814-9172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IgG4-related disease (IgG4-RD) is a fibro-inflammatory disorder usually characterized by multi-organ involvement. Its pathogenesis is complex and involves genetic and environmental factors, while immune responses usually mediate organ damage and promote fibrosis, which is a key feature of the disease. IgG4 responses, however, are not exclusive to IgG4-RD and can be encountered in other diseases with phenotypes that partially overlap that of IgG4-RD. Although IgG4-RD has clinical and histological hallmarks, the lack of validated diagnostic criteria often makes the diagnosis challenging, requiring a multi-dimensional approach that integrates clinical, radiological and serological data. The present Review covers recent advances in the understanding of disease drivers and its clinical phenotypes, mainly focusing on the differential diagnosis with potential IgG4-RD mimickers, namely histiocytoses, lymphoproliferative disorders, systemic vasculitides and other immune-mediated conditions. The Review also provides a schematic approach to IgG4-RD treatment, including a brief overview of glucocorticoid-sparing agents and emerging therapies, from B cell-depleting monoclonal antibodies to cytokine-targeting drugs, the majority of which are currently under investigation in randomized clinical trials.

Indexed as

Immunoglobulin GImmunoglobulin G4-Related DiseaseDiagnosis, DifferentialFibrosisHumansInflammationImmunoglobulin G

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.