IgG4 Staining in Thyroid Eye Disease

Autor: Saul Rajak, Irwin Kashani, Nicholas H Andrew, Daniel Kearney, Dinesh Selva
Rok vydání: 2017
Předmět:
Zdroj: Ophthalmic Plastic & Reconstructive Surgery. 33:S183-S185
ISSN: 0740-9303
DOI: 10.1097/iop.0000000000000556
Popis: IgG4-related ophthalmic disease is increasingly widely recognized. Moreover, IgG4 staining can occur in other inflammatory diseases. The authors report a case of IgG4 staining of an enlarged, inflamed levator palpebrae superioris in a patient with a past history of thyroid eye disease. A 78-year-old woman with quiescent hyperthyroidism had clinical and radiological evidence of levator palpebrae superioris inflammation without superior rectus involvement. A biopsy was consistent with IgG4-related ophthalmic disease. There was a marked but incomplete response to an orbital injection of triamcinolone. The authors discuss the association between thyroid eye disease and IgG4 staining and the diagnostic issues that arise when IgG4-related ophthalmic disease criteria are fulfilled in patients with other orbital inflammatory conditions.
Databáze: OpenAIRE