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Description

Masaki et al proposed criteria for the IgG-4 positive multi-organ lymphoproliferative syndrome. The authors are from Kanazawa Medical University in Japan.


 

Criteria - all of the following:

(1) elevated serum IgG4 (> 1.35 g/L)

(2) tissue infiltrated by plasma cells with > 50% positive for IgG4

(3) presence of fibrosis and/or sclerosis

(4) exclusion of alternative diagnoses

 

Common findings:

(1) autoimmune pancreatitis

(2) allergic rhinitis

(3) elevated serum total IgG and IgE

(4) good clinical response to glucocorticoid therapy

 


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