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Head and neck immunoglobulin G4 related disease: systematic review

Published online by Cambridge University Press:  18 December 2018

G Tirelli ,
N Gardenal ,
A Gatto ,
E Quatela  and
G C Del Piero
G Tirelli
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Italy
N Gardenal*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Italy
A Gatto
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Italy
E Quatela
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Italy
G C Del Piero
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Italy
*
Author for correspondence: Dr Nicoletta Gardenal, Department of Otorhinolaryngology and Head and Neck Surgery, University of Trieste, Cattinara Hospital, Strada di Fiume 447, I-34149, Trieste, Italy E-mail: nicolettagardenal@gmail.com Fax: +39 040 3994180
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Abstract

Background

Immunoglobulin G4 related disease is a recently described systemic syndrome. The head and neck region is the second most common site for presentation after the pancreas.

Methods

PubMed and the Cochrane Library were searched from 1995 to July 2017 for all the studies on immunoglobulin G4 related disease diagnosed in the head and neck compartment. Patient-specific data were extracted and basic statistical analysis was performed.

Results

Ninety-one patients were identified. Treatment was specified in 76 patients. Twenty patients received surgical treatment, eight of them in association with medical therapy. Fifty-six patients received medical treatment. The disease recurred in 25 per cent of patients treated with surgical treatment alone, in 3.6 per cent of patients treated with medical treatment alone and in 12.5 per cent of patients treated with both. All medical treatment protocols contained high-dose corticosteroids.

Conclusion

Early and correct diagnosis can avoid unnecessary surgical treatment, and glucocorticoid therapy can improve the long-term prognosis.

Keywords

Immunoglobulin GImmune SystemLymph NodesGlucocorticoidsImmunosuppressive Agents
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 12 , December 2018 , pp. 1046 - 1050
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr N Gardenal takes responsibility for the integrity of the content of the paper

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