这段文字是说IgG4-Related Disease的表现和过敏性疾病表现一样，还是说IgG4-Related Disease和过敏性疾病常同时出现？

Many patients with IgG4-RD have features of atopic disease, Patients can present with pulmonary symptoms compatible with asthma, including coughing, wheezing, and dyspnea. 5,6 Dermatologic and ocular manifestations also can lead to diagnostic confusion with atopic disorders.7e9 Eczema-like skin disease and urticaria or urticarial vasculitis can occur.10,11 Rhinosinusitis, otitis, and eosinophilia can complicate the disease, hence mimicking type 1 hypersensitivity.10,11 Stone et al1 estimated that up to 40% of these patients might have evidence of atopic disease, such as bronchial asthma and allergic rhinitis. Atypical manifestations of asthma or sinusitis requiring steroids for amelioration, weight loss, hepatomegaly, renal dysfunction, or enlargement of lachrymal or salivary glands should alert the allergist immunologist to the possibility of this disease.

许多IgG4-RD患者有过敏性疾病的特点。患者可出现与哮喘相符的肺部症状，包括咳嗽、喘息、呼吸困难。5、6皮肤和眼部表现也可导致与特应性疾病鉴别诊断混乱。湿疹样皮肤病7-9，荨麻疹或荨麻疹性血管炎可能发生。10、11鼻窦炎、耳炎、嗜酸性粒细胞增多可以并发该病，因此与1型超敏反应类似10，11。 Stone等人的估计，高达40%的患者可能有过敏性疾病的证据，如支气管哮喘和过敏性鼻炎。需要类固醇改善的哮喘或鼻窦炎的非典型表现，体重减轻，肝大、肾功能障碍，或泪腺或唾液腺肿大应使过敏免疫学家警惕本病的可能性。

这段文字是说IgG4-Related Disease的表现和过敏性疾病表现一样，还是说IgG4-Related Disease和过敏性疾病常同时出现？