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Lecture
Current situation of imaging diagnosis for IgG4-related sclerosing cholangitis
DONG Lining  HOU Xinmeng  JIN Erhu 

Cite this article as: Dong LN, Hou XM, Jin EH. Current situation of imaging diagnosis for IgG4-related sclerosing cholangitis[J]. Chin J Magn Reson Imaging, 2022, 13(7): 133-137, 159. DOI:10.12015/issn.1674-8034.2022.07.026.


[Abstract] IgG4-related sclerosing cholangitis (IgG4-SC) is the manifestation of IgG4-related disease involving the bile duct system. Patients with IgG4-SC show extrahepatic and/or intrahepatic bile duct stenosis and dilatation in the imaging examination, higher serum IgG4 level in the laboratory test, frequently associated with autoimmune pancreatitis type 1. Pathological examination reveals lymphoplasmacytic infiltration, storiform fibrosis and obliterative phlebitis. IgG4-SC responds well to steroid therapy. Because most patients are older and have obstructive jaundice at the initial diagnosis, the diagnosis need to be differentiated from other diseases that cause the bile duct stricture and jaundice, such as cholangiocellular carcinoma and pancreatic cancer. This article introduces the imaging features, diagnostic criteria, main differential diagnoses and disease recurrence of IgG4-SC based on radiologic findings.
[Keywords] IgG4-related sclerosing cholangitis;IgG4-related disease;primary sclerosing cholangitis;autoimmune pancreatitis;obstructive jaundice;diagnosis;X-ray computed tomography;magnetic resonance imaging

DONG Lining   HOU Xinmeng   JIN Erhu*  

Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

Jin EH, E-mail: erhujin@263.net

Conflicts of interest   None.

Received  2022-03-12
Accepted  2022-07-05
DOI: 10.12015/issn.1674-8034.2022.07.026
Cite this article as: Dong LN, Hou XM, Jin EH. Current situation of imaging diagnosis for IgG4-related sclerosing cholangitis[J]. Chin J Magn Reson Imaging, 2022, 13(7): 133-137, 159.DOI:10.12015/issn.1674-8034.2022.07.026

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