Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report

Apocrine hidrocystomas are benign cystic tumors resulting from apocrine sweat glands’ proliferation. They typically present as solitary, slow-growing nodules at the head and neck, especially in the periorbital cutaneous region. We present a case of periorbital apocrine hidrocystoma in a 22-year-old...

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Main Authors: Shang-Yen Wu, Jin-Wei Huang, Yuan-Chieh Lee, Fang-Ling Chang, Ming-Hsun Li, Nancy Chen
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/7/840
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author Shang-Yen Wu
Jin-Wei Huang
Yuan-Chieh Lee
Fang-Ling Chang
Ming-Hsun Li
Nancy Chen
author_facet Shang-Yen Wu
Jin-Wei Huang
Yuan-Chieh Lee
Fang-Ling Chang
Ming-Hsun Li
Nancy Chen
author_sort Shang-Yen Wu
collection DOAJ
description Apocrine hidrocystomas are benign cystic tumors resulting from apocrine sweat glands’ proliferation. They typically present as solitary, slow-growing nodules at the head and neck, especially in the periorbital cutaneous region. We present a case of periorbital apocrine hidrocystoma in a 22-year-old woman that was treated as chalazion previously. Besides the hallmark histopathological findings of apocrine hidrocystoma, IgG4 plasma cell infiltration of the cystic wall was also found. The ratio of IgG4-to-IgG-positive plasma cells was high, whereas serum IgG4 was within the standard limit. This is, to date, the only probable IgG4-related ophthalmic disease associated with apocrine hidrocystoma.
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spelling doaj.art-766d7aef2bd444128c74d75e7ddd1ed42023-11-30T21:24:40ZengMDPI AGMedicina1010-660X1648-91442022-06-0158784010.3390/medicina58070840Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case ReportShang-Yen Wu0Jin-Wei Huang1Yuan-Chieh Lee2Fang-Ling Chang3Ming-Hsun Li4Nancy Chen5Department of Ophthalmology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Ophthalmology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Ophthalmology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Ophthalmology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Pathology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanDepartment of Ophthalmology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, TaiwanApocrine hidrocystomas are benign cystic tumors resulting from apocrine sweat glands’ proliferation. They typically present as solitary, slow-growing nodules at the head and neck, especially in the periorbital cutaneous region. We present a case of periorbital apocrine hidrocystoma in a 22-year-old woman that was treated as chalazion previously. Besides the hallmark histopathological findings of apocrine hidrocystoma, IgG4 plasma cell infiltration of the cystic wall was also found. The ratio of IgG4-to-IgG-positive plasma cells was high, whereas serum IgG4 was within the standard limit. This is, to date, the only probable IgG4-related ophthalmic disease associated with apocrine hidrocystoma.https://www.mdpi.com/1648-9144/58/7/840apocrine hidrocystomaIgG4 plasma cellchalazionperi-orbital
spellingShingle Shang-Yen Wu
Jin-Wei Huang
Yuan-Chieh Lee
Fang-Ling Chang
Ming-Hsun Li
Nancy Chen
Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
Medicina
apocrine hidrocystoma
IgG4 plasma cell
chalazion
peri-orbital
title Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
title_full Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
title_fullStr Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
title_full_unstemmed Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
title_short Apocrine Hidrocystoma with IgG4 Plasma Cell Infiltration Presenting as Recurrent Chalazion: A Case Report
title_sort apocrine hidrocystoma with igg4 plasma cell infiltration presenting as recurrent chalazion a case report
topic apocrine hidrocystoma
IgG4 plasma cell
chalazion
peri-orbital
url https://www.mdpi.com/1648-9144/58/7/840
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