Review Article

Salivary Gland Pathology in IgG4-Related Disease: A Comprehensive Review

Table 1

Diagnostic criteria for IgG4-related disease (modified after Umehara et al. [4]).

DiagnosisCriteria

DefinitiveDiffuse or local swelling or multiple organs
Serum IgG4 levels ≥ 135 mg/dL
Histology:
(1) Lymphoplasmacytic infiltrate and fibrosis
(2) IgG4+ plasma cells: ratio of IgG4+/IgG+ cells > 40%, and >10 IgG4+ plasma cells/high-power field

ProbableDiffuse or local swelling or multiple organs
Histology:
(1) Lymphoplasmacytic infiltrate and fibrosis
(2) IgG4+ plasma cells: ratio of IgG4+/IgG+ cells > 40%, and >10 IgG4+ plasma cells/high-power field

PossibleDiffuse or local swelling or multiple organs
Serum IgG4 levels ≥ 135 mg/dL