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IgG4 ‐Related Disease: A Diagnostic Dilemma for 20 Years

Year: 2026
Type: article
Study design: Case Report
Abstract: We report a case of IgG4-related disease in a 65-year-old man who remained undiagnosed for two decades. His disease initially manifested as periorbital oedema, followed by right cheek swelling, lymphadenopathy and a widespread pruritic eruption of skin-coloured and pale erythematous papules. IgG4 was only considered after a stroke protocol MRI of the brain demonstrated an incidental finding of characteristic orbital manifestations. This case highlights the diagnostic complexity of IgG4-related disease and emphasises the importance of recognising its varied presentations to facilitate early diagnosis and management.
Language: English
Subfield: Rheumatology
Field: Medicine
Open Access status: bronze
OpenAlex ID: W7225448407
FWCI:
Cites: 12
Cited by:
Related to: 10