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Understand IgG4-Related Disease Symptoms

IgG4-related disease (IgG4-RD) can affect different parts of your body. Symptoms that don’t seem connected—like swelling around your eyes or pain in your chest—may actually be related. This tool can help you learn about possible symptoms, see how the disease may change over time, and get ready to talk with your doctor.

Understand IgG4-Related Disease Symptoms

Immunoglobulin 4-related disease (IgG4-RD) can affect many organs, and symptoms can appear in different parts of the body. Use this visualizer by clicking on a body region, organ, or symptom to learn more and create a personalized Doctor Discussion Guide to take to your next appointment.

Abdominal Pain

Abdominal pain may occur when IgG4-RD causes inflammation in organs like the pancreas or liver.

Areas Affected

Pancreas
Pancreas

Specialty: Gastroenterologist

Biliary Tract and Liver
Biliary Tract and Liver

Specialty: Hepatologist, Gastroenterologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Abdominal Swelling

Abdominal swelling may happen when organs like the liver and kidneys become inflamed or retain fluid.

Areas Affected

Biliary Tract and Liver
Biliary Tract and Liver

Specialty: Hepatologist, Gastroenterologist

Kidneys
Kidneys

Specialty: Nephrologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Back Pain

Back pain associated with IgG4-RD is aching, stiffness, or discomfort in the lower or middle back.

Areas Affected

Kidneys
Kidneys

Specialty: Nephrologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Blood in Urine

Blood in the urine can make the urine look pink, red, or brown. Sometimes the blood is only seen under a microscope. Blood in the urine may signal inflammation in the kidneys.

Areas Affected

Kidneys
Kidneys

Specialty: Nephrologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Bulging Eyes

Bulging eyes happen when swelling around or behind the eyes pushes them forward, making them look larger or more prominent than usual.

Areas Affected

Eye Sockets
Eye Sockets

Specialty: Ophthalmologist, Neurologist

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Related Symptoms

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Chest Pain

Chest pain is any discomfort, tightness, or pressure felt in the chest area. It can be sharp or dull and may spread to the back, shoulders, or arms.

Areas Affected

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Related Symptoms

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Chest Pressure

Chest pressure can feel like tightness or heaviness in the chest, and in IgG4-RD, it may be caused by inflammation around the lungs and blood vessels of the heart.

Areas Affected

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

Related Symptoms

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Cough

A cough may occur when IgG4-RD causes inflammation in the airways or lungs.

Areas Affected

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Related Symptoms

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Digestive Problems

Digestive problems can include nausea, bloating, or diarrhea when IgG4-RD affects the stomach or pancreas.

Areas Affected

Kidneys
Kidneys

Specialty: Nephrologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Dizziness

Dizziness is the feeling of being lightheaded, unsteady, or like the room is spinning. In IgG4-RD, it may occur when inflammation affects the inner ear, brain, or blood flow.

Areas Affected

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

Related Symptoms

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Double Vision

Double vision means you see two of the same object instead of one. This can happen when swelling or pressure affects how the eyes move together.

Areas Affected

Eye Sockets
Eye Sockets

Specialty: Ophthalmologist, Neurologist

Related Symptoms

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Dry Eyes and Dry Mouth

Dry eyes occur when your tear glands don’t make enough tears, or the tears do not work well, leaving your eyes feeling scratchy or irritated.

Dry mouth happens when the salivary glands do not make enough saliva. This can make chewing, swallowing, or speaking uncomfortable.

Areas Affected

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Related Symptoms

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Enlarged Lymph Nodes

Enlarged lymph nodes result from immune system activation and may feel swollen.

Areas Affected

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Facial Pain

Facial pain may occur when IgG4-RD affects nerves or sinuses in the face, which may lead to discomfort, pressure, or aching around the eyes, cheeks, or jaw.

Areas Affected

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Related Symptoms

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Fatigue

Fatigue means feeling unusually tired or lacking energy, even after rest. It may result from ongoing inflammation caused by IgG4-RD.

Areas Affected

Related Symptoms

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Fever

Fever is a rise in body temperature that may occur when the immune system becomes overactive or inflamed. In IgG4-RD, fever can be a sign that the disease is active or affecting multiple organs.

Areas Affected

Related Symptoms

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Headache

A headache is pain or pressure in the head. It can range from mild discomfort to severe throbbing and may be constant or come and go.

Areas Affected

Related Symptoms

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Irregular Heartbeat

An irregular heartbeat happens when inflammation affects the heart’s electrical system, causing the heart to beat too fast, too slow, or irregularly.

Areas Affected

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

Related Symptoms

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Jaundice

Jaundice causes yellowing of the skin or eyes due to liver or bile duct inflammation and in IgG4-RD may be caused by liver or bile duct inflammation.

Areas Affected

Biliary Tract and Liver
Biliary Tract and Liver

Specialty: Hepatologist, Gastroenterologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Muscle Pain

Muscle pain, also called myalgia, can feel like aching, soreness, or tenderness in different parts of the body. It may occur when IgG4-RD causes inflammation in the muscles or connective tissues.

Areas Affected

Related Symptoms

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Muscle Weakness

Muscle weakness means your muscles feel less strong than usual or tire easily. In IgG4-RD, it can happen when inflammation affects the nerves, muscles, or surrounding tissues.

Areas Affected

Related Symptoms

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Neck Swelling

Neck swelling can happen when glands or tissues in the neck become inflamed due to IgG4-RD.

Areas Affected

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Related Symptoms

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Nerve Problems

Nerve problems may occur when IgG4-RD causes inflammation that affects the nerves, leading to tingling, numbness, or weakness.

Areas Affected

Related Symptoms

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Seizures

A seizure is a sudden change in brain activity that can cause shaking, staring spells, or confusion. Seizures can be mild or more serious.

Areas Affected

Related Symptoms

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Shortness of Breath

Shortness of breath means feeling like you cannot get enough air or that breathing is harder than usual. Inflammation, scarring, or masses that affect the heart, aorta, and lungs may cause shortness of breath in IgG4-RD.

Areas Affected

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Related Symptoms

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Swelling Around Cheeks or Jaw

This swelling happens when salivary glands in the cheeks or jaw get larger or feel puffy. It may make the face look fuller or feel tender.

Areas Affected

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Related Symptoms

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Swelling in the Lower Extremities

Fluid buildup in the lower extremities such as the abdomen, legs, ankles, and feet may be a sign of poor kidney function.

Areas Affected

Kidneys
Kidneys

Specialty: Nephrologist

Retroperitoneum
Retroperitoneum (area behind abdominal cavity)

Specialty: Urologist, Rheumatologist

Related Symptoms

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Throat Pain

Throat pain may happen when inflammation affects the salivary glands, lymph nodes, or nearby tissues in the neck. It can feel sore, scratchy, or tender when swallowing or talking.

Areas Affected

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Related Symptoms

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Underactive Thyroid/Pituitary Gland

An underactive thyroid or pituitary gland can affect how hormones are produced and regulated in the body. When hormone levels are too low, it may lead to symptoms such as fatigue, weight changes, or other health concerns.

Areas Affected

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Related Symptoms

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Vision Changes (in rare cases)

IgG4-RD can cause eye bulging or swelling of the glands around the eyes, and this may affect vision.

Areas Affected

Eye Sockets
Eye Sockets

Specialty: Ophthalmologist, Neurologist

Related Symptoms

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Water Retention

Water retention can happen when too much fluid builds up in some of the body's tissues, which can be due to inflammation of the lymph system or any type of kidney dysfunction.

Areas Affected

Kidneys
Kidneys

Specialty: Nephrologist

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Related Symptoms

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Weight Loss

Unexpected weight loss can occur when IgG4-RD affects organs that help control metabolism, digestion, or hormone balance.

Areas Affected

Pancreas
Pancreas

Specialty: Gastroenterologist

Biliary Tract and Liver
Biliary Tract and Liver

Specialty: Hepatologist, Gastroenterologist

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Related Symptoms

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Head and Neck

IgG4-RD may affect organs within the head and neck. Explore the organs below to learn how this disease can cause swelling, pain, or other changes. If you have any of these symptoms, you can add them to your Doctor Discussion Guide. The type of specialist who treats each organ is provided.

Areas Affected

Eye Sockets
Eye Sockets

Specialty: Ophthalmologist, Rheumatologist

Salivary and Tear Glands
Salivary and Tear Glands

Specialty: Ear, Nose, and Throat Doctor; Rheumatologist

Thyroid and Pituitary Glands
Thyroid and Pituitary Glands

Specialty: Endocrinologist

Home

Chest

IgG4-RD may affect organs within the chest. Explore the organs below to learn how this disease can cause swelling, pain, or other changes. If you have any of these symptoms, you can add them to your Doctor Discussion Guide. The type of specialist who treats each organ is provided.

Areas Affected

Lungs
Lungs

Specialty: Pulmonologist, Rheumatologist

Heart and Aorta
Heart and Aorta

Specialty: Cardiologist

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Abdomen

IgG4-RD may affect organs within the abdomen. Explore the organs below to learn how this disease can cause swelling, pain, or other changes. You can add any symptoms you notice to your Doctor Discussion Guide. In addition to Rheumatologists, the specialists who treat each organ are provided.

Areas Affected

Pancreas
Pancreas

Specialty: Gastroenterologist

Biliary Tract and Liver
Biliary Tract and Liver

Specialty: Hepatologist, Gastroenterologist

Kidneys
Kidneys

Specialty: Nephrologist

Biliary Tract and Liver

Biliary Tract and Liver

IgG4-RD can affect the biliary tract and liver, leading to inflammation. The ducts may become swollen and narrowed, increasing the risk of infection or jaundice—a condition that causes yellowing of the skin and eyes.

Symptoms

Eye Sockets

Eye Sockets

IgG4-RD can affect the eye sockets, causing large masses of tissue and inflamed muscles to develop around the eyes.

Symptoms

Heart and Aorta

Heart and Aorta

IgG4-RD can affect the heart and aorta. Swelling and weakening of blood vessels can increase the risk of heart disease.

Symptoms

Kidneys

Kidneys

IgG4-RD can affect the kidneys, leading to inflammation that may cause serious health issues, including chronic kidney disease. Symptoms can include swelling in the legs and feet and blood in the urine.

Symptoms

Lungs

Lungs

IgG4-RD can affect the lungs, leading to inflammation that may cause lung masses, thickening of the lung walls, and the development of lung disease.

Symptoms

Meninges

Meninges

IgG4-RD can affect the meninges, leading to inflammation that may cause nerve problems, seizures.

Symptoms

Pancreas

Pancreas

IgG4-RD can affect the pancreas. It may disrupt digestion and nutrient absorption, causing rapid weight loss. Blood sugar levels can also be impacted.

Symptoms

Retroperitoneum

Retroperitoneum

IgG4-RD can affect the retroperitoneum, causing inflammation and fibrosis.

Symptoms

Salivary and Tear Glands

Salivary and Tear Glands

IgG4-RD can affect the salivary and tear glands, leading to swelling and dryness that may result in severe dry mouth and eyes.

Symptoms

Thyroid and Pituitary Glands

Thyroid and Pituitary Glands

IgG4-RD can affect the thyroid and pituitary glands, leading to inflammation that disrupts hormone levels, which may cause fatigue.

Symptoms