igg4相关疾病头颈部受累的磁共振成像评价

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
U. Pehlivan, K. Karaali, H. İlhan, M. Soy, D. Arslan, O. Kaya, R. Kışla-Ekinci, Burcak Cakir-Pekoz, U. Cay, A. Açıkalın, A. Ağıldere
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引用次数: 0

摘要

目的:探讨头颈部igg4相关疾病(IgG4-RD)的影像学特征。方法:回顾性分析9例被诊断为IgG4-RD的头颈部受累患者的影像学特征、临床、实验室、病理表现及预后。结果:患者年龄中位数为38岁(2.5 ~ 79岁),男性6例,女性3例。患者最常见的症状和临床表现为眼睑和泪腺肿胀、无痛性眼球突出和眼麻痹。MRI上最常见的受累部位是眼眶。眼眶受累后依次为三叉神经分支、鼻窦、颈淋巴结和硬脑膜受累。最常见和最显著的影像学特征是T2低密度和弥漫性均匀对比度增强。结论:IgG4-RD累及头颈部具有特殊的影像学特征,有助于诊断。因此,随着对这种相对较新的病理特征的认识的提高,可以实现早期诊断和更好的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Magnetic resonance imaging evaluation of head and neck involvement in IgG4-related disease
Objective: To evaluate the radiological features of IgG4-related disease (IgG4-RD) in the head and neck region. Methods: In this radiology-based study, radiological features, clinical, laboratory, pathological findings, and prognosis of nine patients with head and neck involvement diagnosed with IgG4-RD were investigated retrospectively. Results: The median age of the patients was 38 years (range: 2.5-79 years), and there were six males and three females. The most common symptoms and clinical findings of the patients were eyelid and lacrimal gland swelling, painless exophthalmos, and ophthalmoplegia. The most common site of involvement on MRI was the orbit. Orbital involvement was followed by branches of the trigeminal nerve, sinonasal cavity, cervical lymph nodes, and dural involvement. The most common and remarkable imaging features were T2 hypointensity and diffuse homogeneous contrast enhancement. Conclusions: Head and neck involvement of the IgG4-RD, has specific imaging features that can help with diagnosis. Thus, early diagnosis and better outcomes can be achieved with increasing awareness of these features of this relatively new pathology.
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来源期刊
Asian Pacific journal of tropical medicine
Asian Pacific journal of tropical medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-TROPICAL MEDICINE
CiteScore
4.00
自引率
9.70%
发文量
1936
审稿时长
3-8 weeks
期刊介绍: Asian Pacific Journal of Tropical Medicine (ISSN 1995-7645 CODEN: APJTB6), a publication of Editorial office of Hainan Medical University,is a peer-reviewed print + online Monthly journal. The journal''s full text is available online at http://www.apjtm.org/. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. APJTM aims to provide an academic communicating platform for international physicians, medical scientists, allied health scientists and public health workers, especially those of the Asia-Pacific region and worldwide on tropical medicine, infectious diseases and public health, and to meet the growing challenges of understanding, preventing and controlling the dramatic global emergence and re-emergence of infectious diseases in the Asia-Pacific. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on tropical medicine, infectious diseases and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. The APJTM will allow us to seek opportunities to work with others who share our aim, and to enhance our work through partnership, and to uphold the standards of our profession and contribute to its advancement.
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