Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms suggestive of IgG4-related inflammatory pseudotumor, including [abdominal pain/jaundice/weight loss/early satiety]. Duration of symptoms: [Number] weeks/months. History of systemic autoimmune manifestations or obstructive symptoms noted. No history of malignancy or infectious etiology identified. Serum IgG4 levels: [Value] mg/dL.
Clinical Examination Findings
Physical examination reveals [no palpable abdominal masses/tenderness in RUQ/hepatosplenomegaly]. Scleral icterus: [Present/Absent]. Lymphadenopathy: [Present/Absent]. Skin evaluation: [No rashes/nodules]. Vital signs stable. Abdominal exam findings consistent with localized inflammatory mass effect.
Treatment Protocol
Initiate corticosteroid therapy (Prednisone [Dose] mg/day) with planned taper over [Number] weeks. Consider steroid-sparing agents (e.g., Rituximab or Azathioprine) for refractory cases or maintenance. Monitor serum IgG4 levels and repeat imaging (CT/MRI) in [Number] months to assess response. Surgical resection reserved for cases with severe obstruction or diagnostic uncertainty.