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Understanding the disease
What IgG4-related disease is, why it can look like many other conditions, and how it affects the body.
Chapter 1 introduction
Welcome to chapter 1
This chapter introduces the essential features of IgG4-RD and how it affects the body. Whether you’re a patient, caregiver, or clinician, these lessons will help you understand why the disease is often difficult to identify. By the end, you’ll have the foundation you need to continue your learning journey.
What you’ll learn in this chapter
Lesson 1: What is IgG4-RD?
Why this disease can mimic many others and how it causes inflammation.
Lesson 2: History of IgG4-RD
How scientists discovered IgG4-RD and why awareness is growing.
Lesson 3: What is the IgG antibody?
Learn how IgG antibodies work and what makes IgG4 unique.
Lesson 4: The role of B cells and why they matter
Meet the immune cells at the center of IgG4‑RD.
Lesson 5: Other important immune cells
T cells, eosinophils, fibroblasts, and the inflammation–fibrosis connection.
Lesson 6: Understanding fibrosis
How scar-like tissue forms and why early treatment helps.
Let's get started.
How common is IgG4-RD?
IgG4-related disease (IgG4-RD) is considered a rare condition. The exact prevalence is unknown, but estimates suggest that it affects 1-5 cases per 100,000 people. The incidence of IgG4-RD is growing quickly, a fact that likely reflects greater recognition. Between the years 2015 and 2019, for example, the annual incidence (number of new cases diagnosed) nearly doubled.
IgG4-RD is significantly rarer than cancer, diabetes, and rheumatoid arthritis, which are common chronic illnesses affecting a vast number of people globally. IgG4-RD is what is called an “orphan” disease, which is defined (in the United States) as consisting of fewer than 200,000 cases at a given time in the U.S. Other countries have similar definitions.
Keep in mind that estimates for IgG4-RD may vary depending on the population studied and the diagnostic criteria used. In addition, IgG4-RD may be underdiagnosed, as its symptoms may overlap with other conditions.
References
1. Stone JH, Zen Y, Deshpande V. IgG4-Related Disease. New England Journal of Medicine. 2012;366(6):539–551. doi:10.1056/NEJMra1104650. PMID: 22316447. URL: https://www.nejm.org/doi/full/10.1056/NEJMra1104650
2. Wallace ZS, Katz G, Hernandez-Barco YG, Baker MC. Current and future advances in practice: IgG4-related disease. Rheumatology Advances in Practice. 2024;8(2):rkae020. doi:10.1093/rap/rkae020. URL: https://academic.oup.com/rheumap/article/8/2/rkae020/7642446
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