Table 2. Diagnostic criteria of IgG4-related hypophysitis
Note: Diagnosis may be based on Criterion 1 or a combination of Criteria 2 and 3 or Criteria 2, 4 and 5.
| Criterion 1 | Histological confirmation.Lymphoplasmacytic infiltration of damaged tissue of pituitary gland with over 10 IgG4-positive plasma cells |
| Criterion 2 | MRI confirmation.Pituitary gland and/or pituitary stalk swelling |
| Criterion 3 | Histologically confirmed IgG4-associated disease in another organ |
| Criterion 4 | Blood serum test confirmation.Elevated IgG4 in blood serum (over 140 mg/dl) |
| Criterion 5 | Therapeutic response to glucocorticosteroids.Pituitary gland volume decrease and clinical improvement as a result of glucocorticosteroids treatment |