头颈部IgG4相关性疾病的临床及MRI诊断  

Clinical and MRI diagnosis of IgG4-related disease in the head and neck

作　　者：袁小平[1] 陈美薇[1] 颜卓恒 Yuan Xiaoping;Chen Meiwei;Yan Zhuoheng(Department of Radiology,The Sun Yet-Sen Memorial Hospital,Sun Yet-Sen University,Guangzhou,Guangdong 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院放射科,广东广州510120

出　　处：《影像研究与医学应用》2020年第9期19-20,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨头颈部IgG4相关性疾病的MRI诊断和临床分析,提高其诊断及鉴别诊断。方法:对我院12例头颈部IgG4相关性疾病的MRI资料进行回顾性研究,结合其临床表现进行分析。结果:所有患者均有血清IgG4升高,其中手术病理6例,6例皮质类固醇激素治疗病灶缩小;12例中,包括局限性硬化性硬脑膜炎4例,垂体炎3例,双侧颌下腺炎3例,双侧泪腺炎2例;其中3例同时累及三叉神经。结论:头颈部IgG4相关性疾病的MRI表现有一定特征性,结合临床及IgG4升高,可以提高对疾病的认识。Objective To discuss Clinical and MRI diagnosis of IgG4-related disease in the head and neck and to improve the diagnosis and differential diagnosis.Methods MRI data of 12 cases with IgG4-related diseases of head and neck in our hospital were retrospectively studied,and their clinical manifestations were analyzed.Results All patients had elevated serum IgG4,among which 6 cases were treated by surgical pathology,Corticosteroids were used in 6 patients with reduced lesion size.Among the 12 cases,there were 4 cases of localized sclerosing meningitis,3 cases of pituitary inflammation,3 cases of bilateral submandibular adenitis and 2 cases of bilateral lacrimal adenitis.Trigeminal nerve was involved in 3 cases.Conclusion MRI manifestations of head and neck IgG4-RD have certain characteristics.Combined with clinical and IgG4 elevation,the understanding of the disease can be improved.

关 键 词：IGG4相关性疾病 IGG4 头颈部病变 磁共振成像 

分 类 号：R653[医药卫生—外科学]