IgG4-Related Lacrimal Sac Diverticulitis. (24th February 2014)

• Record Type: Journal Article
• Authors: Kase, Satoru; Suzuki, Yasuo; Shinohara, Toshiya; Kase, Manabu
• Is Part Of: Orbit. Volume 33:Number 3(2014)
• Page Start: 217
• Page End: 219
• Publication Date: 2014-02-24
• Subjects: IgG4 -- inflammation -- lacrimal sac diverticulitis; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.3109/01676830.2014.884147
• Languages: English
• ISSNs: 0167-6830

Abstract

Abstract: IgG4-related disease is characterized by elevated serum IgG4 and tissue infiltration by IgG4-positive plasma cells. We herein report a case of lacrimal sac diverticulitis with marked IgG4-positive plasma cell infiltration. An 89-year-old woman presenting with right lower eyelid mass. Imaging modalities demonstrated a cystic orbital mass located beneath the globe and adjacent to enlarged lacrimal sac. Serological tests showed high IgG4 and normal IgG levels, measuring 242 and 1603 mg/dl, respectively. The orbital mass was surgically excised. Histologically, the excised tissue demonstrated marked inflammation with fibrosis surrounded by mononuclear epithelial cells. A variety of IgG and IgG4-positive plasma cells infiltrated the stroma. This patient was diagnosed as an IgG4-related lacrimal sac diverticulitis, based on current diagnostic criteria of IgG4-related disease. It is likely that IgG4-related inflammation occurs in a lacrimal sac diverticulum, which should be considered a differential diagnosis in inferior orbital tumors.