Autoinflammatory & rare systemic diseases

Imaging findings in cardiovascular involvements of IgG4-related disease: a systematic review study

Rheumatology (Oxford)Published Systematic review

Authors' conclusion

This study evaluated current IgG4-RD articles, revealing a higher prevalence in men and vasculopathy as the most common cardiovascular complication.

Study context

Population
Cases of cardiovascular Immunoglobulin G4-related disease (IgG4-RD) in studies reporting detailed cardiovascular imaging findings (PubMed, Scopus, Embase, Web of Science, to 1 September 2023)
Participants
120 cases68 studies
Outcome
Imaging findings in IgG4-related cardiovascular disease
Methodological detailsPRISMA guidelines, 60 case reports, 5 case series, 2 cross-sectional, 1 case-control
  • PRISMA guidelines
  • 60 case reports, 5 case series, 2 cross-sectional, 1 case-control

Pooled result

As reported in the abstract

Cardiovascular imaging findings
  • Most common imaging finding: vasculopathy (vessel wall thickening, periarteritis, periaortitis, aortitis, stenosis, ectasia, aneurysm, intramural haemorrhage, fistula, dissection), followed by pericardial involvement and mediastinal masses
  • Case series and cross-sectional studies also showed vasculopathy as most common finding on various modalities, including angiography and PET/CT

Further pooled results

Patient characteristics

Mean age (years)
62.8
Most cases male
Common initial symptoms: dyspnoea and chest pain

Original publication

Imaging findings in cardiovascular involvements of IgG4-related disease: a systematic review study. Rheumatology (Oxford). Published 13 September 2024. doi:10.1093/rheumatology/keae494

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