Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis
A 48-year-old lorry driver presented with 3 weeks of blurred vision, pain and diplopia. There was a right upper lid ptosis with some restriction of eye movements. A CT revealed an enlarged lacrimal gland and lacrimal gland biopsy showed IgG4-positive plasma cells. The patient responded to oral predn...
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doaj-af89905eb6114d3e9a11c90a866215612020-11-24T22:22:40ZengKarger PublishersCase Reports in Ophthalmology1663-26992016-02-017110811110.1159/000444164444164Acute Painful Ptosis Secondary to IgG4 DacryoadenitisRumana HussainAbdul El-KhyatAntonella Berry-BrincatA 48-year-old lorry driver presented with 3 weeks of blurred vision, pain and diplopia. There was a right upper lid ptosis with some restriction of eye movements. A CT revealed an enlarged lacrimal gland and lacrimal gland biopsy showed IgG4-positive plasma cells. The patient responded to oral prednisolone and fully recovered. As a condition which mimics a number of diseases, an IgG4-related disease presents a diagnostic challenge and ought to be considered in both acute and chronic presentations.http://www.karger.com/Article/FullText/444164IgG4DacryoadenitisThird nerve palsy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rumana Hussain Abdul El-Khyat Antonella Berry-Brincat |
spellingShingle |
Rumana Hussain Abdul El-Khyat Antonella Berry-Brincat Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis Case Reports in Ophthalmology IgG4 Dacryoadenitis Third nerve palsy |
author_facet |
Rumana Hussain Abdul El-Khyat Antonella Berry-Brincat |
author_sort |
Rumana Hussain |
title |
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis |
title_short |
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis |
title_full |
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis |
title_fullStr |
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis |
title_full_unstemmed |
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis |
title_sort |
acute painful ptosis secondary to igg4 dacryoadenitis |
publisher |
Karger Publishers |
series |
Case Reports in Ophthalmology |
issn |
1663-2699 |
publishDate |
2016-02-01 |
description |
A 48-year-old lorry driver presented with 3 weeks of blurred vision, pain and diplopia. There was a right upper lid ptosis with some restriction of eye movements. A CT revealed an enlarged lacrimal gland and lacrimal gland biopsy showed IgG4-positive plasma cells. The patient responded to oral prednisolone and fully recovered. As a condition which mimics a number of diseases, an IgG4-related disease presents a diagnostic challenge and ought to be considered in both acute and chronic presentations. |
topic |
IgG4 Dacryoadenitis Third nerve palsy |
url |
http://www.karger.com/Article/FullText/444164 |
work_keys_str_mv |
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1725767229522313216 |