Erschienen in:
20.06.2018 | Case Report
The tarsal plate manifestation of IgG4-related disease
verfasst von:
J. S. N. Verhoekx, A. F. Karim, J. A. M. van Laar, R. M. Verdijk, D. Paridaens
Erschienen in:
International Ophthalmology
|
Ausgabe 7/2019
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Abstract
Purpose
To describe a clinical case of bilateral biopsy-proven IgG4-related disease confined to the tarsal plate.
Method
Interventional case report.
Results
A 58-year-old woman presented with a tarsal swelling in the lateral part of the upper eyelids, with focal ulceration and mucus. Histology revealed fibrotic inflammation with increased IgG4-positive plasma cells fulfilling the criteria of IgG4-related disease (IgG4-RD). Serum IgG4 levels were increased, and pathological fluorodeoxyglucose uptake at positron emission tomography/CT scanning was restricted to the upper eyelids. After treatment with oral and topical prednisone, the tarsal lesions markedly regressed.
Conclusions
Periorbital IgG4-RD may be confined to the tarsal plate. Treatment with systemic and topical steroids may induce significant regression.