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Revista argentina de reumatología

Print version ISSN 0327-4411On-line version ISSN 2362-3675


FINUCCI CURI, Pablo; SATTLER, María Emilia  and  MATTEODA, Marcos Roberto. Bilateral exophthalmos due to orbital involvement due to IgG4-related disease. Rev. argent. reumatolg. [online]. 2023, vol.34, n.1, pp.40-42. ISSN 0327-4411.

IgG4-related disease (IgG4-ER) is characterized by fibrotic involvement and lymphoplasmacytic infiltrate with IgG4 cells predominance in one or several tissues. The head and neck phenotype includes lacrimal and salivary gland involvement, orbital disease, pachymeningitis, hypophysitis, thyroiditis, mastoiditis, and sinus involvement. Orbital manifestations may include unilateral or bilateral proptosis, extraocular muscles scarring, orbital inflammation, and pain that may mimic Graves' ophthalmopathy. IgG4-related ophthalmic disease may present with extraocular muscles and orbital fat involvement and is often confused with orbital Graves' disease. We present the case of a 58-year-old man, with a history of bilateral exophthalmos of more than 15 years, in whom the diagnosis of IgG4-ER was reached and whose orbits magnetic resonance showed a characteristic pattern of extraocular muscle involvement.

Keywords : exophthalmos; IgG4; head and neck; orbit.

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