IgG4-related systemic disease affecting the parotid and submandibular glands: magnetic resonance imaging features of IgG4-related chronic sclerosing sialadenitis and concomitant lymphadenitis

被引:13
作者
De Cocker, Laurens J. [1 ]
D'Arco, Felice [2 ]
De Beule, Tom [1 ]
Tousseyn, Thomas [3 ]
Blockmans, Daniel [4 ]
Hermans, Robert [1 ]
机构
[1] Univ Hosp Leuven, Dept Radiol, Louvain, Belgium
[2] Univ Naples Federico II, Dept Diagnost Imaging & Radiotherapy, I-80131 Naples, Italy
[3] Univ Hosp Leuven, Dept Pathol, Louvain, Belgium
[4] Univ Hosp Leuven, Dept Gen Internal Med, Louvain, Belgium
关键词
IgG4-related systemic disease; MRI; Parotid gland; Chronic sclerosing sialadenitis; Kuttner tumor; Lymphadenitis; SALIVARY-GLANDS; NECK; HEAD; MANIFESTATIONS; BRAIN; TUMOR;
D O I
10.1016/j.clinimag.2013.11.002
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Background: IgG4-related systemic disease (IgG4-RSD) is a recently recognised fibroinflammatory condition, characterized by a tissue infiltration and/or enlargement and typical histopathological findings. Methods and results: We report on a 73-year-old male with bilateral preauricular swelling and a remote history of unexplained systemic disease. Magnetic resonance imaging showed enlargement of all major salivary glands and cervical lymph node due to a tissue infiltration with marked enhancement and restricted diffusion. Elevated serum IgG4 levels and histopathological findings on an excisional lymph node biopsy were consistent with IgG4-RSD. Conclusion: Magnetic resonance imaging seems to be a useful tool to support the diagnosis of IgG4-related systemic disease of salivary glands. (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:195 / 198
页数:4
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