累及口腔的IgG4相关疾病研究进展

Research progress of IgG4-related disease in oral cavity

IgG4相关疾病(immunoglobulin G4-related disease,IgG4-RD)是一种病因不明的全身性多器官纤维炎性疾病,研究认为B细胞和T细胞的增殖活化及其相互作用在该病的免疫反应及纤维化过程中可能发挥重要作用。IgG4-RD可累及包括口腔在内的多个器官和系统。唾液腺是口腔内最常受累的器官,此外,口腔的其他组织也可被IgG4-RD累及,且临床表现异质,临床准确诊断存在困难。为此,该文检索近年来IgG4-RD累及口腔组织的文献报道,结合最新诊断标准,从流行病学、发病机制、临床表现、诊断与治疗出发作一综述。

IgG4-related disease(IgG4-RD)is a systemic multi-organ fibroinflammatory disease of unknown etiology.Studies suggest that the proliferation and activation of B cells,T cells and their crosstalk may play important roles in the immune response and fibrosis process of the disease.IgG4-RD can involve multiple organs and systems including the maxillofacial region.Salivary glands are the most frequently involved organs in the oral cavity.In addition,other tissues in the oral cavity can also be affected,and the clinical manifestations are heterogeneous.It is difficult to make accurate clinical diagnosis.To this end,this article searches literature reports of IgG4RD involving oral tissue in recent years,and reviews the IgG4-RD involving oral cavity from the perspective of epidemiology,pathogenesis,clinical manifestation,diagnosis and treatment,combined with the latest diagnostic criteria.