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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...

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Detalles Bibliográficos
Autores principales: Hussain, Rumana, El-Khyat, Abdul, Berry-Brincat, Antonella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899634/
https://www.ncbi.nlm.nih.gov/pubmed/27293410
http://dx.doi.org/10.1159/000444164
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author Hussain, Rumana
El-Khyat, Abdul
Berry-Brincat, Antonella
author_facet Hussain, Rumana
El-Khyat, Abdul
Berry-Brincat, Antonella
author_sort Hussain, Rumana
collection PubMed
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.
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spelling pubmed-48996342016-06-10 Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis Hussain, Rumana El-Khyat, Abdul Berry-Brincat, Antonella Case Rep Ophthalmol Published online: February, 2016 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. S. Karger AG 2016-02-20 /pmc/articles/PMC4899634/ /pubmed/27293410 http://dx.doi.org/10.1159/000444164 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Published online: February, 2016
Hussain, Rumana
El-Khyat, Abdul
Berry-Brincat, Antonella
Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis
title 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_short Acute Painful Ptosis Secondary to IgG4 Dacryoadenitis
title_sort acute painful ptosis secondary to igg4 dacryoadenitis
topic Published online: February, 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899634/
https://www.ncbi.nlm.nih.gov/pubmed/27293410
http://dx.doi.org/10.1159/000444164
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