A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity

IgG4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by IgG4-positive plasma cell and T lymphocyte infiltration of multiple organs. It commonly involves the pancreas, lacrimal glands, and salivary glands, and it has been rarely reported in the sinonasal cavity. We herein r...

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Main Authors: Ju Eun Lee, Se Hwan Hwang
Format: Article
Language:English
Published: Korean Rhinologic Society 2023-03-01
Series:Journal of Rhinology
Subjects:
Online Access:http://j-rhinology.org/upload/pdf/jr-2023-00008.pdf
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author Ju Eun Lee
Se Hwan Hwang
author_facet Ju Eun Lee
Se Hwan Hwang
author_sort Ju Eun Lee
collection DOAJ
description IgG4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by IgG4-positive plasma cell and T lymphocyte infiltration of multiple organs. It commonly involves the pancreas, lacrimal glands, and salivary glands, and it has been rarely reported in the sinonasal cavity. We herein report the case of a 47-year-old male patient whose chief complaint was decreased visual acuity. A tumefactive mass was found on imaging studies, originating from the sinonasal cavity and invading the orbit, kidney, and meninges. The mass was resected through endoscopic sinus surgery and was pathologically confirmed to be IgG4-RD. The patient was treated with steroid therapy and showed clinical improvement.
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spelling doaj.art-36f1c365bd024276b2c2f256a37539622023-04-19T02:25:25ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612023-03-01301485210.18787/jr.2023.00008777A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual AcuityJu Eun Lee0Se Hwan Hwang Department of Otolaryngology-Head and Neck Surgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaIgG4-related disease (IgG4-RD) is a systemic inflammatory disease characterized by IgG4-positive plasma cell and T lymphocyte infiltration of multiple organs. It commonly involves the pancreas, lacrimal glands, and salivary glands, and it has been rarely reported in the sinonasal cavity. We herein report the case of a 47-year-old male patient whose chief complaint was decreased visual acuity. A tumefactive mass was found on imaging studies, originating from the sinonasal cavity and invading the orbit, kidney, and meninges. The mass was resected through endoscopic sinus surgery and was pathologically confirmed to be IgG4-RD. The patient was treated with steroid therapy and showed clinical improvement.http://j-rhinology.org/upload/pdf/jr-2023-00008.pdfimmunoglobulin gimmunoglobulin g4-related diseaseparanasal sinusesglucocorticoid
spellingShingle Ju Eun Lee
Se Hwan Hwang
A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
Journal of Rhinology
immunoglobulin g
immunoglobulin g4-related disease
paranasal sinuses
glucocorticoid
title A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
title_full A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
title_fullStr A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
title_full_unstemmed A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
title_short A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity
title_sort case of igg4 related disease with sinonasal involvement presenting with decreased visual acuity
topic immunoglobulin g
immunoglobulin g4-related disease
paranasal sinuses
glucocorticoid
url http://j-rhinology.org/upload/pdf/jr-2023-00008.pdf
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