hilar lymphadenopathy and pulmonary lesions (figure Pancreas biopsies revealed chronic pancreatitis. Accessory salivary gland and coeliac adenopathy biopsies showed noncaseating giant-cell epithelioid granuloma. The tuberculin purified protein derivative test and the Quantiferon assay were both negative. Laboratory analysis revealed a polyclonal hypergammaglobulinemia with IgG level at 35 g/l; serum IgG4 level was increased at 6.8 g/l (normal<0.8 g/l), white blood cell count revealed a lymphopenia (1000 mm 3 /l) and ACE was within the normal range.
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Miller et al. (2010) studied this question.
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