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Immunoglobulin G4-related sclerosing disease, also known as IgG4-related disease (IgG4-RD), is described in the packet's disease definition as a mass-forming lesion that can occur in the pancreas, submandibular glands, lacrimal glands, lymph nodes, and hepatobiliary tract. It is characterized by marked tissue sclerosis and infiltration by numerous plasma cells that stain for IgG4, and serum IgG4 levels are often increased. The packet lists no associated genes, and no inheritance pattern, onset category, or certified prevalence estimate is recorded. Named subtypes in the packet include autoimmune pancreatitis and IgG4-related kidney disease.
Phenotype annotations in the packet list as frequent (an estimated 30 to 79 percent of affected individuals) abnormality of the orbital region, sialadenitis, pancreatitis, abnormal pancreatic duct morphology, sclerosing cholangitis, retroperitoneal fibrosis, and Hashimoto thyroiditis. Frequent laboratory findings include increased circulating IgG4, antinuclear antibody positivity, and decreased complement C3 and C4 concentrations. Occasional findings (an estimated 5 to 29 percent) include increased IgG, IgE, erythrocyte sedimentation rate and C-reactive protein, complement system abnormality, and rheumatoid factor positivity.
The packet lists no genes for this condition, and no inheritance pattern or molecular mechanism is recorded, so the cause is not described in this packet. The disease definition characterizes the condition by its tissue findings, sclerosis and IgG4-positive plasma cell infiltration, which describe the lesions rather than a cause.
The packet does not supply formal diagnostic criteria. According to the disease definition, tissue plasma cells show immunohistochemical staining for IgG4 and serum IgG4 levels are often increased, and increased circulating IgG4 is listed as a frequent phenotype. These are descriptive features and are not presented here as diagnostic criteria.
The packet contains no FDA-approved treatment records and no foundational therapy or GeneReviews management content, so established treatment is not described here. Two orphan drug designations are listed, both for treatment of IgG4-related disease: obexelimab (sponsor Zenas BioPharma) and rilzabrutinib (sponsor Sanofi US Services). An orphan drug designation is not a marketing approval and does not indicate that a drug is available for this condition.
12 trials found
Prognosis is not certified in this packet, and no natural-history information is supplied.
ClinicalTrials.gov records in the packet include active studies for this condition, for example a phase 2 study titled "A Study of Efgartigimod in Patients With IgG4-Related Disease" (NCT07025330, Stanford University, recruiting, estimated completion 2028-06-01) and a phase 2 study titled "A Study of IMM0306 in IgG4-Related Disease" (NCT07621939, ImmuneOnco Biopharmaceuticals, not yet recruiting). Trial titles describe study focus and do not establish outcomes.
Data assembled from 5 of 12 sources · Last updated Nov 4, 2026, 11:02 PM UTC
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Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning immunoglobulin G4-related sclerosing disease
Updated Oct 30, 2026
stereotactic radiosurgery for isolated intracranial immunoglobulin g4 disease an illustrative case
A case report highlights a rare instance of giant paratesticular immunoglobulin G4-related disease that mimicked malignancy. This discovery may enhance understanding and diagnosis of similar cases in clinical practice.
A case report from Türkiye details the first instance of immunoglobulin G4-related disease presenting as acute appendicitis. This finding highlights the need for awareness of this rare disease in differential diagnoses.