raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:449432

IgG4-related submandibular gland disease

Synonyms: Küttner tumor

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

A rare IgG4-related disease characterized by a benign tumor-like chronic inflammatory lesion of the submandibular gland. Histologic features are periductal fibrosis, acinar atrophy, obliterative phlebitis, dense lymphoplasmacytic infiltrates rich in IgG4-positive plasma cells, and formation of lymphoid follicles. Lobular architecture is preserved. Patients most commonly present with unilateral, painless swelling of the submandibular gland. Serologic analysis reveals elevated IgG4 levels.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIgG4-related submandibular gland diseaseKüttner tumor
frMaladie de la glande submandibulaire associée à IgG4Maladie de la glande sous mandibulaire associée à IgG4 · Tumeur de Küttner
deIgG4-assoziierte chronisch-sklerosierende SialadenitisChronisch-sklerosierende Sialadenitis der Glandula submandibularis · IgG4-assoziierte Adenitis der Glandula submandibularis · IgG4-assoziierte Speicheldrüsenentzündung
esEnfermedad de la glándula submandibular asociada a IgG4Tumor de Küttner
itMalattia della ghiandola sottomandibolare correlata alle IgG4Tumore di Küttner
nlIgG4-gerelateerde aandoening van submandibulaire klierKüttner-tumor
ptDoença da glândula submandibular IgG4-relacionadaTumor Küttner
plChoroba ślinianki podżuchwowej związana z IgG4= en
csIgG4 asociované postižení submandibulární slinné žlázyIgG4 asociovaná sialoadenitida · Küttnerův nádor
ukЗахворювання підщелепної залози, повязане з IgG4Пухлина Кюттнера
zhIgG4相关的下颌下腺疾病IgG4相关涎腺炎
trIgG4-ilişkili submandibuler bez hastalığıKüttner tümörü · IgG4-ilişkili sialadenit

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10K11.2NTBTattributedvalidated
ICD-114A43.0NTBTindexvalidated
MONDO0018674Evalidated
UMLSC5679995Evalidated

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_24844187[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

25 annotations · validated 2021-05-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010287Abnormality of the submandibular glands
HP:0002960Autoimmunity
HP:0003237Increased circulating IgG level
HP:0032300Increased circulating IgG4 level
Frequent (79-30%)
HP:0010286Abnormal salivary gland morphology
HP:0004431Complement deficiency
HP:0007734Enlarged lacrimal glands
HP:0003212Increased circulating IgE concentration
HP:0010702Increased circulating immunoglobulin concentration
HP:0001880Increased total eosinophil count
HP:0002716Lymphadenopathy
HP:0031281Sialadenitis
HP:0000217Xerostomia
Occasional (29-5%)
HP:0012090Abnormal pancreas morphology
HP:0000077Abnormality of the kidney
HP:0000820Abnormality of the thyroid gland
HP:0011801Enlargement of parotid gland
HP:0000282Facial edema
HP:0100539Periorbital edema
HP:0025439Pharyngitis
HP:0000083Renal insufficiency
HP:0005200Retroperitoneal fibrosis
Very rare (<4-1%)
HP:0025426Abnormal bronchus morphology
HP:0030151Cholangitis
HP:0000024Prostatitis

Run the differential on the 4 obligate / very frequent terms

Annotation source: 24332556[PMID]_33827676[PMID]_27007955[PMID]_27193771[PMID]

7

Sources for this card