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Living with IgG4-related mediastinitis

A condition with scar tissue in the chest between the lungs that can press on the airways and blood vessels.

Understanding IgG4-related mediastinitis

IgG4-related mediastinitis is a condition that affects the mediastinum, the area between the lungs that holds the heart, large blood vessels, windpipe, esophagus, and lymph nodes.

Scar tissue builds up in this area in varying amounts. It may block airways and affect lung function, or compress blood vessels and slow blood flow to and from the heart.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary describes:

  • Blocked airways that can affect lung function
  • Compressed blood vessels near the heart
  • Scar tissue in the chest

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists and lung and breathing specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Lung and breathing specialists (pulmonologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could a past fungal infection be involved?
Which tests show how much of my airway or blood vessels are affected?
Which specialists should be on my care team?

Quick facts

The exact cause isn't fully understood, but it is not inherited. Many cases are linked to a fungal infection called histoplasmosis.

Respiratory

Also known as: fibrosing mediastinitis; fibrosis of mediastinum; fibrous mediastinitis; idiopathic hilar fibrosis; idiopathic mediastinal fibrosis; mediastinal fibrosis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · IgG4-related mediastinitisGARD ID 8337 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with IgG4-related mediastinitis.

Explore the IgG4-related mediastinitis blog

Explore research for IgG4-related mediastinitis

Explore actively recruiting IgG4-related mediastinitis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for IgG4-related mediastinitis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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