A Case of IgG4-Related Bilateral Palpebral Conjunctivitis
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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.
2020 ◽
Vol 17
(21)
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pp. 8179
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2021 ◽
2014 ◽
Vol 58
(8)
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pp. 862-868
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2012 ◽
Vol 35
(1)
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pp. 30-37
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