Immunoglobulin G4-related dacyroadenitis presenting as bilateral chorioretinal folds from severely enlarged lacrimal glands
| Autor: | Shiori Masuo, Toshinori Murata, Toru Kurokawa, Hideaki Hamano, Takashi Muraki, Takeshi Uehara |
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| Rok vydání: | 2018 |
| Předmět: |
Immunoglobulin G4 (IgG4)-related disease
Diagnostic criteria genetic structures Lacrimal gland Fundus (eye) Enlarged lacrimal glands Malignancy Oral prednisolone 03 medical and health sciences Mikulicz's disease 0302 clinical medicine lcsh:Ophthalmology Blurred vision Immunoglobulin g4 Case report medicine 030203 arthritis & rheumatology business.industry Dacryoadenitis Anatomy medicine.disease Immunoglobulin G4 (IgG4)-related ophthalmic disease eye diseases Ophthalmology medicine.anatomical_structure lcsh:RE1-994 Chorioretinal fold 030221 ophthalmology & optometry medicine.symptom business |
| Zdroj: | American Journal of Ophthalmology Case Reports American Journal of Ophthalmology Case Reports, Vol 9, Iss C, Pp 88-92 (2018) |
| ISSN: | 2451-9936 |
| DOI: | 10.1016/j.ajoc.2018.01.017 |
| Popis: | Purpose To describe a case of immunoglobulin G4 (IgG4)-related dacyroadenitis presenting as bilateral chorioretinal folds from eyeball compression by massively enlarged lacrimal glands. Observations A 51-year-old woman with severely enlarged bilateral lacrimal glands was diagnosed as having IgG4-related dacryoadenitis. The glands strongly compressed the globes, forming chorioretinal folds resembling those found in orbital malignancy. Eventual treatment with oral prednisolone dramatically reduced the volume of the lacrimal glands and released globe compression on magnetic resonance imaging. However, the chorioretinal folds remained in the right fundus and symptoms of blurred vision improved but persisted. Conclusions and importance This is the first account of chorioretinal fold formation by severely enlarged lacrimal glands appearing in IgG4-related dacryoadenitis. Chorioretinal fold formation by an enlarged lacrimal gland occurring bilaterally may represent a basis for suspecting IgG4-related dacryoadenitis. Prompt treatment is recommended for patients presenting with very large lacrimal glands to avoid visual impairment. |
| Databáze: | OpenAIRE |
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