Magnetic resonance imaging evaluation of head and neck involvement in IgG4-related disease

被引：0

作者：

Pehlivan, Umur Anil ^{[1
]}

Karaali, Kamil ^{[2
]}

Ilhan, Hatice Deniz ^{[3
]}

Soy, Mehmet ^{[4
,5
]}

Arslan, Didem ^{[6
]}

Kaya, Omer ^{[7
]}

Kisla-Ekinci, Rabia Miray ^{[8
]}

Cakir-Pekoz, Burcak ^{[9
]}

Cay, Ummuhan ^{[10
]}

Acikalin, Arbil ^{[11
]}

Agildere, Ahmet Muhtesem ^{[12
]}

机构：

[1] Baskent Univ, Dept Radiol, Adana Dr Turgut Noyan Applicat & Res Ctr, Adana, Turkiye

[2] Akdeniz Univ, Fac Med, Dept Radiol, Antalya, Turkiye

[3] Akdeniz Univ, Fac Med, Dept Ophthalmol, Antalya, Turkiye

[4] Bahcelievler Med Pk, Dept Internal Med & Rheumatol, Istanbul, Turkiye

[5] Altinbas Univ, Fac Med, Istanbul, Turkiye

[6] Cukurova Univ, Fac Med, Dept Internal Med & Rheumatol, Adana, Turkiye

[7] Cukurova Univ, Fac Med, Dept Radiol, Adana, Turkiye

[8] Adana City Training & Res Hosp, Dept Pediat Rheumatol, Adana, Turkiye

[9] Adana City Training & Res Hosp, Dept Radiol, Adana, Turkiye

[10] Cukurova Univ, Fac Med, Dept Pediat Infect Dis, Adana, Turkiye

[11] Cukurova Univ, Fac Med, Dept Pathol, Adana, Turkiye

[12] Baskent Univ, Fac Med, Dept Radiol, Ankara, Turkiye

来源：

ASIAN PACIFIC JOURNAL OF TROPICAL MEDICINE | 2023年 / 16卷 / 06期

关键词：

IgG4; Head and neck imaging; Magnetic resonance imaging; Orbit; Perineural spreading; MR; FEATURES; CT;

D O I：

10.4103/1995-7645.378564

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To evaluate the radiological features of IgG4-related disease (IgG4-RD) in the head and neck region. Methods: In this radiology-based study, radiological features, clinical, laboratory, pathological findings, and prognosis of nine patients with head and neck involvement diagnosed with IgG4-RD were investigated retrospectively. Results: The median age of the patients was 38 years (range: 2.5-79 years), and there were six males and three females. The most common symptoms and clinical findings of the patients were eyelid and lacrimal gland swelling, painless exophthalmos, and ophthalmoplegia. The most common site of involvement on MRI was the orbit. Orbital involvement was followed by branches of the trigeminal nerve, sinonasal cavity, cervical lymph nodes, and dural involvement. The most common and remarkable imaging features were T2 hypointensity and diffuse homogeneous contrast enhancement. Conclusions: Head and neck involvement of the IgG4-RD, has specific imaging features that can help with diagnosis. Thus, early diagnosis and better outcomes can be achieved with increasing awareness of these features of this relatively new pathology.

引用

页码：276 / 283

页数：7

共 23 条

[1] Easily detected signs of perineural tumour spread in head and neck cancer [J].