ما هو العلاج الأول لالتهاب الحجاج المرتبط بـ IgG4؟

References

• Glucocorticoids are the first-line treatment for most patients with IgG4-ROD.
• Common approach to the treatment IgG4-ROD with systemic corticosteroid was initiated orally with prednisolone 0.6 mg/kg/day for 2–4 weeks and then tapered by 5 mg every 2–4 weeks.
• It generally took 3–6 months to discontinue steroid treatment.
• Besides, intraorbital injection of glucocorticoids had been reported as an alternative treatment approach for IgG4-ROD centered in anterior orbit to avoid systemic immunosuppression.
• The vast majority of patients with IgG4-ROD respond well to glucocorticoids within weeks, typically with reductions in the size of masses, improvements of symptoms, and often a marked decrease in serum IgG4.

DOI: 10.4103/tjo.tjo_12_17