Wenhui Zhang, Nan Pang, Xu Wang, Peng Fang, Youjun Wang, Ruixue Lu
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引用次数: 0
Abstract
IgG4-related submandibular gland inflammation (IgG4-RSGI) is an immunologically mediated condition characterized by chronic fibroinflammatory lesions and elevated serum IgG4 levels. It often lacks specific clinical and imaging features, leading to misdiagnosis.We present a case of IgG4-RSGI to enhance clinical recognition and diagnostic accuracy. A patient presented with a four-month history of progressive bilateral submandibular gland enlargement. Ultrasonography revealed bilateral submandibular gland enlargement with heterogeneous internal echoes, a "mesh-like" pattern, and nodular hypoechoic areas. Color Doppler flow imaging (CDFI) showed increased vascularity. Ultrasound-guided biopsy confirmed the diagnosis, establishing ultrasound as a valuable initial diagnostic tool in the clinical assessment of IgG4-RSGI.
期刊介绍：
The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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