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...

Full description

Bibliographic Details
Main Authors: Rumana Hussain, Abdul El-Khyat, Antonella Berry-Brincat
Format: Article
Language:English
Published: Karger Publishers 2016-02-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:http://www.karger.com/Article/FullText/444164
id doaj-af89905eb6114d3e9a11c90a86621561
record_format Article
spelling 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 AT rumanahussain acutepainfulptosissecondarytoigg4dacryoadenitis
AT abdulelkhyat acutepainfulptosissecondarytoigg4dacryoadenitis
AT antonellaberrybrincat acutepainfulptosissecondarytoigg4dacryoadenitis
_version_ 1725767229522313216