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. 2022 Apr 30;68(2):16–33. doi: 10.14341/probl12777

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