raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:449395

IgG4-related kidney disease

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Not applicable
Age of onset
Adult, Elderly
Status
active

A rare renal disease occurring in the setting of a systemic IgG4 related disease (IgG4-RD). The disorder is characterized by a fibrosing tubulointerstitial nephritis consisting of predominantly IgG4+ plasma cells with/without glomerulonephritis, retroperitoneal fibrosis and hydronephrosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIgG4-related kidney disease
frMaladie rénale associée à IgG4
deIgG4-assoziierte NierenkrankheitNephropathie, IgG4-assoziierte
esEnfermedad renal relacionada con IgG4
itMalattia renale correlata a IgG4
nlIgG4-gerelateerde nierziekte
ptDoença renal IgG4-relacionada
plChoroba nerek związana z IgG4
csIgG4 asociované postižení ledvin
ukЗахворювання нирок, повязані з IgG4
zhIgG4相关肾病
trIgG4-ilişkili böbrek hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10N11.8NTBTattributedvalidated
ICD-114A43.0NTBTindexvalidated
MONDO0018671Evalidated
UMLSC5392056Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_26666884[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

59 annotations · validated 2021-05-19
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003237Increased circulating IgG level
HP:0032300Increased circulating IgG4 level
HP:0001970Tubulointerstitial nephritis
Frequent (79-30%)
HP:0001919Acute kidney injury
HP:0003493Antinuclear antibody positivity
HP:0012622Chronic kidney disease
HP:0004431Complement deficiency
HP:0005421Decreased circulating complement C3 concentration
HP:0045042Decreased circulating complement C4 concentration
HP:0003259Elevated circulating creatinine concentration
HP:0000790Hematuria
HP:0032298Increased circulating IgG1 level
HP:0000093Proteinuria
HP:0000083Renal insufficiency
HP:0032616Renal interstitial immunoglobulin deposits
HP:0002923Rheumatoid factor positive
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0001679Abnormal aortic morphology
HP:0031093Abnormal breast morphology
HP:0002088Abnormal lung morphology
HP:0045026Abnormal mediastinum morphology
HP:0025633Abnormal ureter morphology
HP:0100016Abnormality of mesentery morphology
HP:0011747Abnormality of the anterior pituitary
HP:0012592Albuminuria
HP:0012089Arteritis
HP:0001082Cholecystitis
HP:0011109Chronic sinusitis
HP:0000620Dacryocystitis
HP:0001410Decreased liver function
HP:0031032Decreased retinol-binding protein level
HP:0000105Enlarged kidney
HP:0012378Fatigue
HP:0003212Increased circulating IgE concentration
HP:0001880Increased total eosinophil count
HP:0011123Inflammatory abnormality of the skin
HP:0006515Interstitial pneumonitis
HP:0002840Lymphadenitis
HP:0002716Lymphadenopathy
HP:0031549Lymphocytoma cutis
HP:0012578Membranous nephropathy
HP:0001287Meningitis
HP:0012593Nephrotic range proteinuria
HP:0001733Pancreatitis
HP:0001701Pericarditis
HP:0002102Pleuritis
HP:0000024Prostatitis
HP:0005200Retroperitoneal fibrosis
HP:0030991Sclerosing cholangitis
HP:0031281Sialadenitis
HP:0100646Thyroiditis
HP:0006000Ureteral obstruction
HP:0500006Urethritis
HP:0100577Urinary bladder inflammation
HP:0001824Weight loss
Very rare (<4-1%)
HP:0011227Elevated circulating C-reactive protein concentration
HP:0000126Hydronephrosis
HP:0010741Pedal edema
Excluded (0%)
HP:0100586Sterile pyuria

Run the differential on the 3 obligate / very frequent terms

Annotation source: 32488771[PMID]_32234380[PMID]_25594543[PMID]

7

Sources for this card