Immunoglobulin G4 (IgG4)-Related Sialadenitis and Dacryoadenitis With Chronic Rhinosinusitis
| Autor: | Juan J Maya, Samar Aboulenain, Tatiana P Miquel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Facial swelling immunoglobulin type g4 kuttner’s tumor Chronic rhinosinusitis 030204 cardiovascular system & hematology mikulicz’s disease Allergy/Immunology 03 medical and health sciences 0302 clinical medicine Rheumatology stomatognathic system Immunoglobulin g4 parasitic diseases Internal Medicine Medicine rhinosinusitis African american business.industry fungi General Engineering Dacryoadenitis medicine.disease Dermatology Sialadenitis igg4 related sialadenitis sjogren's New disease Histopathology business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.9756 |
| Popis: | Immunoglobulin G4-related disease (IgG4-RD) is a new disease entity of rare and complex immune-mediated fibroinflammatory conditions that can affect any organ. The concomitance of IgG4 sclerosing sialadenitis and dacryoadenitis with rhinosinusitis is extremely rare. We report a case of IgG4 sclerosing sialadenitis and dacryoadenitis (Mikulicz’s disease) diagnosed in a middle-aged African American man with a long-standing history of chronic rhinosinusitis who presented with progressively worsening bilateral salivary and lacrimal glands swelling. Imaging revealed pansinusitis, symmetric enlargement of the lacrimal glands, parotid glands, and submandibular glands. Serological IgG4 level was significantly elevated and the diagnosis of IgG4 sclerosing sialadenitis was confirmed by histopathology. A robust clinical response in the facial swelling and nasal manifestations was noted after the initiation of immunotherapy with corticosteroids. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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