| Identifier |
walsh_2022_s1_c2 |
| Title |
Not Another IgG4 Case! |
| Creator |
Anne Kao |
| Affiliation |
(AK) Kaiser Permanente, Honolulu, Hawaii |
| Subject |
Orbital Inflammation |
| History |
A 34 year-old woman was referred from the allergist for painless swelling of bilateral upper eyelids for 11 months, after; moving from Alabama to her current state of residence. Her past medical history was significant for anemia. Review of; systems was notable for fatigue, daily headaches, and intentional weight loss. Laboratory studies ordered by the referring; physician revealed a positive ANA (no titer), elevated ESR, elevated platelets, low hemoglobin; TSH, ACE, vitamin B12 and; folate, C4, and dsDNA were all normal. Her initial ophthalmology examination was remarkable for bilateral upper eyelid; edema with palpable lacrimal glands, mild bilateral upper lid ptosis, bilateral lagophthalmos, and exophthalmos left eye; greater than right. Visual acuity was OD 20/25, OS 20/20. Pupils were reactive with no relative afferent pupillary defect.; Color plates were normal. Extraocular movements were full and there was no lid lag in downgaze. The remainder of the slit; lamp and fundus examination were unremarkable. |
| Disease/Diagnosis |
Multicentric castleman disease |
| Date |
2022-02 |
| References |
1. Sasaki T, Akiyama M, Kaneko Y, Mori T, Yasuoka H, et. al., 'Distinct Features Distinguishing IgG4-related disease from; Multicentric Castleman's Disease.' RMD Open, 3(1):e000432, 2017.; 2. Wang H-W, Pittaluga S, Jaffe ES, 'Multicentric Castleman Disease: Where are we now?' Semin Diagn Pathol, 33(5):294-; 306, 2016. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
54th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2022 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2022. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6vq9aes |
| Setname |
ehsl_novel_fbw |
| ID |
2100230 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6vq9aes |
