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IgG4-positive sclerosing orbital inflammation involving the conjunctiva: A case report

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Abstract

Purpose: To describe IgG4-positive sclerosing orbital inflammation with prominent conjunctival and scleral involvement. Design: Case report. Methods: Clinical, radiologic, and pathologic correlation. Results: A 66-year-old man presented with right eye redness and irritation. Examination revealed unilateral scleritis and nongranulomatous anterior uveitis with elevated p-ANCA and CRP. Orbital CT scan showed inferotemporal scleral thickening. Biopsy revealed sclerosis and IgG4-positive plasma cells in the conjunctiva and inferior rectus. Conclusions: IgG4-mediated sclerosing inflammation is well-recognized in the orbit and adnexa, particularly the lacrimal gland. Scleritis with anterior uveitis should be recognized as a possible presentation for this entity, which has important systemic associations.

Original languageEnglish (US)
Pages (from-to)375-377
Number of pages3
JournalOcular Immunology and Inflammation
Volume20
Issue number5
DOIs
StatePublished - Oct 2012
Externally publishedYes

Keywords

  • Conjunctiva
  • IgG4-positive
  • Nonspecific orbital inflammation (NSOI)
  • Orbital pseudotumor
  • Sclerosing orbital inflammation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Ophthalmology

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