Clinical Study

Spectrum of Disorders Associated with Elevated Serum IgG4 Levels Encountered in Clinical Practice

Table 2

Spectrum of diagnoses associated with high serum IgG4 Levels ( ).

DiagnosisNo. of patients (%)

IgG4-related disease29 (18.4)
 Definite10
 Probable0
 Possible19
Respiratory diseases32 (20.3)
 Bronchiectasis11
 Chronic rhinosinusitis7
 Asthma4
 Idiopathic pulmonary fibrosis3
 Sarcoidosis2
 Other respiratory diseases*5
Biliary tract diseases26 (16.5)
 Primary sclerosing cholangitis17
 Cholangiocarcinoma6
 Biliary stricture or stone3
Pancreatic diseases19 (12.0)
 Pancreatitis, not IgG4 related10
 Pancreatic cancer6
 Other pancreatic diseases3
Cirrhosis and other liver diseases9 (5.7)
Vasculitis9 (5.7)
 Granulomatosis with polyangiitis (Wegener’s)5
 The Churg-Strauss syndrome3
 Polyarteritis nodosa1
Atopic dermatitis1 (0.6)
Miscellaneous diseases4 (2.5)
No specific diagnosis29 (18.4)

*Other respiratory diseases (5 patients) included chronic pleuritis, emphysema, fibrosing mediastinitis, hypersensitivity pneumonitis, and recurrent pneumonias, respectively.
Other pancreatic diseases (3 patients) included intraductal papillary mucinous neoplasm, pancreatic cyst, and pancreatic insufficiency, respectively.
Miscellaneous diseases (4 patients) included lactose intolerance, neurofibromatosis, polymyositis, and psoriasis, respectively.