Not Another IgG4 Case!

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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
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