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

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI:10.18787/jr.2023.00008
Ju Eun Lee, Se Hwan Hwang
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引用次数: 0

Abstract

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.

igg4相关疾病累及鼻窦表现为视力下降1例
IgG4相关疾病(IgG4-RD)是一种以IgG4阳性浆细胞和T淋巴细胞浸润多器官为特征的全身性炎症性疾病。它通常涉及胰腺、泪腺和唾液腺,在鼻腔中很少报道。我们在此报告一例47岁男性患者,其主要主诉为视力下降。影像学研究发现,肿胀性肿块起源于鼻腔,侵犯眼眶、肾脏和脑膜。该肿块通过鼻内镜鼻窦手术切除,经病理证实为IgG4-RD。该患者接受了类固醇治疗,并显示出临床改善。
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