| Literature DB >> 24240795 |
Hidefumi Inaba1, Takahiro Hayakawa, Waka Miyamoto, Ken Takeshima, Hiroyuki Yamaoka, Yasushi Furukawa, Hiromichi Kawashima, Hiroyuki Ariyasu, Hisao Wakasaki, Hiroto Furuta, Masahiro Nishi, Taisei Nakao, Hideyuki Sasaki, Yuka Okada, Kazuto Matsunaga, Yasushi Nakamura, Takashi Akamizu.
Abstract
A 72-year-old man presented with bilateral eyelid swelling and redness. An orbital CT scan showed bilateral proptosis, extraocular muscle enlargement and swollen lacrimal glands, mimicking thyroid-associated orbitopathy (TAO) with Hashimoto's thyroiditis (HT). During the patient's clinical course, spontaneous remission of lung consolidation (35 × 26 mm) was seen. A diagnosis of IgG4-related disease (IgG4-RD) was made based on an elevated serum IgG4 level (1,020 mg/dL; normal, 4-108), predominance of IgG4-positive plasma cells (IgG4/IgG: 35/70 in HPF) in the lacrimal glands and typical features of Mikulicz's disease. This report provides a novel description of this unusual disease entity among HT, TAO and IgG4-RD.Entities:
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Year: 2013 PMID： 24240795 DOI： 10.2169/internalmedicine.52.0902
Source DB: PubMed Journal: Intern Med ISSN： 0918-2918 Impact factor: 1.271