Features of IgG4-related sclerosing mesenteritis: A Chinese cohort study and literature review

IgG4-SM is a significant but under-recognized manifestation of IgG4-RD, characterized by a predilection for elderly males, multi-organ involvement, higher disease activity and distinct imaging features. Systemic radiological evaluation, including PET-CT could assist diagnosis and treatment monitoring. Glucocorticoid-based therapy achieved outcomes comparable to surgery, challenging the necessity of invasive interventions. This study expands the clinical spectrum of IgG4-SM and advocates for personalized, non-surgical management strategies in most cases.

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Publication Details

Journal
Rheumatology and Immunology Research
Published
2025-12-01
DOI
https://doi.org/10.1515/rir-2025-0026
Primary Topic
IgG4-Related and Inflammatory Diseases
Type
article
Field-Weighted Citation Impact
0.00

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Features of IgG4-related sclerosing mesenteritis: A Chinese cohort study and literature review

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article en

Abstract

IgG4-SM is a significant but under-recognized manifestation of IgG4-RD, characterized by a predilection for elderly males, multi-organ involvement, higher disease activity and distinct imaging features. Systemic radiological evaluation, including PET-CT could assist diagnosis and treatment monitoring. Glucocorticoid-based therapy achieved outcomes comparable to surgery, challenging the necessity of invasive interventions. This study expands the clinical spectrum of IgG4-SM and advocates for personalized, non-surgical management strategies in most cases.

Rheumatology and Immunology ResearchVol. 6(4)
Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Peking Union Medical College Hospital (CN)
National Natural Science Foundation of China, China Postdoctoral Science Foundation, Peking Union Medical College Hospital, Peking Union Medical College
Openalex Percentile: Top 27%
IgG4-Related and Inflammatory Diseases
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