A case of IgG4-related bilateral palpebral conjunctivitis

Toshiya Nagai; Tatsuya Yunoki; Atsushi Hayashi

doi:10.1159/000502411

A case of IgG4-related bilateral palpebral conjunctivitis

Toshiya Nagai, Tatsuya Yunoki, Atsushi Hayashi

Ophthalmology

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

The most common sites of IgG4-related ocular disease are the lacrimal glands, infraorbital nerve, and extraocular muscles. Other ocular adnexal sites are relatively rare. We report a rare case of an 83-year-old man who developed palpebral conjunctivitis following bilateral hypertrophic ectropion of the eyelid. Tissue immunostaining revealed many IgG4-positive plasma cells (67 IgG4/74 IgG cells/high-power field). The serum IgG4 level was 76.9 mg/dL, which was within the normal range. The diagnosis was probable IgG4-related disease. The possibility of IgG4-related disease should be considered in a patient presenting with refractory conjunctivitis and hyperemia or hypertrophy of the lower eyelid.

Original language	English
Pages (from-to)	299-303
Number of pages	5
Journal	Case Reports in Ophthalmology
Volume	10
Issue number	2
DOIs	https://doi.org/10.1159/000502411
State	Published - 2019/05/01

Keywords

Hypertrophic ectropion
IgG4-related ocular disease
Palpebral conjunctivitis

ASJC Scopus subject areas

Ophthalmology

Access to Document

10.1159/000502411

Cite this

@article{cae189a21b8e49fe91aeb038118cb934,

title = "A case of IgG4-related bilateral palpebral conjunctivitis",

abstract = "The most common sites of IgG4-related ocular disease are the lacrimal glands, infraorbital nerve, and extraocular muscles. Other ocular adnexal sites are relatively rare. We report a rare case of an 83-year-old man who developed palpebral conjunctivitis following bilateral hypertrophic ectropion of the eyelid. Tissue immunostaining revealed many IgG4-positive plasma cells (67 IgG4/74 IgG cells/high-power field). The serum IgG4 level was 76.9 mg/dL, which was within the normal range. The diagnosis was probable IgG4-related disease. The possibility of IgG4-related disease should be considered in a patient presenting with refractory conjunctivitis and hyperemia or hypertrophy of the lower eyelid.",

keywords = "Hypertrophic ectropion, IgG4-related ocular disease, Palpebral conjunctivitis",

author = "Toshiya Nagai and Tatsuya Yunoki and Atsushi Hayashi",

note = "Publisher Copyright: {\textcopyright} 2019 The Author(s). Published by S. Karger AG, Basel.",

year = "2019",

month = may,

day = "1",

doi = "10.1159/000502411",

language = "英語",

volume = "10",

pages = "299--303",

journal = "Case Reports in Ophthalmology",

issn = "1663-2699",

publisher = "S. Karger AG",

number = "2",

}

TY - JOUR

T1 - A case of IgG4-related bilateral palpebral conjunctivitis

AU - Nagai, Toshiya

AU - Yunoki, Tatsuya

AU - Hayashi, Atsushi

PY - 2019/5/1

Y1 - 2019/5/1

N2 - The most common sites of IgG4-related ocular disease are the lacrimal glands, infraorbital nerve, and extraocular muscles. Other ocular adnexal sites are relatively rare. We report a rare case of an 83-year-old man who developed palpebral conjunctivitis following bilateral hypertrophic ectropion of the eyelid. Tissue immunostaining revealed many IgG4-positive plasma cells (67 IgG4/74 IgG cells/high-power field). The serum IgG4 level was 76.9 mg/dL, which was within the normal range. The diagnosis was probable IgG4-related disease. The possibility of IgG4-related disease should be considered in a patient presenting with refractory conjunctivitis and hyperemia or hypertrophy of the lower eyelid.

AB - The most common sites of IgG4-related ocular disease are the lacrimal glands, infraorbital nerve, and extraocular muscles. Other ocular adnexal sites are relatively rare. We report a rare case of an 83-year-old man who developed palpebral conjunctivitis following bilateral hypertrophic ectropion of the eyelid. Tissue immunostaining revealed many IgG4-positive plasma cells (67 IgG4/74 IgG cells/high-power field). The serum IgG4 level was 76.9 mg/dL, which was within the normal range. The diagnosis was probable IgG4-related disease. The possibility of IgG4-related disease should be considered in a patient presenting with refractory conjunctivitis and hyperemia or hypertrophy of the lower eyelid.

KW - Hypertrophic ectropion

KW - IgG4-related ocular disease

KW - Palpebral conjunctivitis

UR - http://www.scopus.com/inward/record.url?scp=85071987665&partnerID=8YFLogxK

U2 - 10.1159/000502411

DO - 10.1159/000502411

M3 - 学術論文

C2 - 31579117

AN - SCOPUS:85071987665

SN - 1663-2699

VL - 10

SP - 299

EP - 303

JO - Case Reports in Ophthalmology

JF - Case Reports in Ophthalmology

IS - 2

ER -

A case of IgG4-related bilateral palpebral conjunctivitis

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Fingerprint

Cite this