Primary Immunoglobulin G4-Related Laryngeal Disease: A Case Series and Review of Literature.

Objective: Immunoglobulin G4-related disease (IgG4-RD) is an increasingly recognised cause of various systemic fibro-inflammatory conditions. However, laryngeal involvement as a primary feature is extremely rare. We aimed to report on a case series of such patients and examine the global literature...

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Publicado en:Clinical Medicine Insights: Case Reports pp. 1 - 7
Autores principales: Maughan, Elizabeth F, Michaels, Joshua, Miller, Benjamin, Weir, Justin, Salama, Alan, Warner, Elinor, Ghufoor, Khalid, Sandhu, Gurpreet, Al Yaghchi, Chadwan
Formato: case study pictorial tables/charts Journal Article
Publicado: Sage Publications Inc. Jan-Dec2020
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Clinical Medicine Insights: Case Reports
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      dt: Jan-Dec2020
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/1179547620960197
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        atl: Primary Immunoglobulin G4-Related Laryngeal Disease: A Case Series and Review of Literature.
      aug:
        au:
          Maughan, Elizabeth F
          Michaels, Joshua
          Miller, Benjamin
          Weir, Justin
          Salama, Alan
          Warner, Elinor
          Ghufoor, Khalid
          Sandhu, Gurpreet
          Al Yaghchi, Chadwan
        affil: Department of Otolaryngology, Imperial College Healthcare NHS Trust, London, UK
      sug:
        subj:
          Immunoglobulin G4-Related Disease Diagnosis
          Laryngeal Diseases Diagnosis
          Laryngeal Diseases Therapy
          Immunotherapy Methods
          Female
          Middle Age
          Adolescence
          Male
          Aged
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Aged: 65+ years
          Female
          Male
      ab: Objective: Immunoglobulin G4-related disease (IgG4-RD) is an increasingly recognised cause of various systemic fibro-inflammatory conditions. However, laryngeal involvement as a primary feature is extremely rare. We aimed to report on a case series of such patients and examine the global literature relating to laryngeal involvement. Methods: Having previously reported a case of IgG4-RD laryngeal pseudotumour, we describe a case series of further 4 patients with primary laryngeal IgG4-RD managed by our UK quaternary airway service and provide a brief overview of laryngeal IgG4-RD. Results: Including our cases, 14 cases of primary laryngeal IgG4-RD have been reported. Vocal cord involvement is relatively uncommon. Repeat biopsies may be required to achieve histological diagnosis. Remission is achievable by commencement of immunomodulatory treatment, following which laryngeal reconstruction may be necessary. Conclusion: Laryngeal involvement is a rare presentation of IgG4-RD, itself a rare and difficult-to-diagnose condition. A high and prolonged index of suspicion is necessary from both surgical and pathological specialists for correct diagnosis and management.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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