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In search of a disease

  • Gustavo Savino
  • , Andrea Campana, Md
  • , Gianluigi Petrone
  • , Gabriela Grimaldi
  • , Ann P. Murchison

Research output: Contribution to journalArticle

Abstract

A 10-year-old child presented with right eyelid swelling and a palpable orbital mass. Diagnostic evaluation with the aid of excisional biopsy revealed a pseudoencapsulated mass associated with high levels of serum perinuclear antineutrophil cytoplasmic antibodies. Family history of rheumatic diseases, response to treatment with corticosteroids and immunosuppressant drugs, and clinical and histopathologic features suggested an orbital autoimmune response in which perinuclear antineutrophil cytoplasmic antibodies were detected, and a diagnosis of probable IgG4-related disease was made.
Original languageEnglish
Pages (from-to)N/A-N/A
JournalSurvey of Ophthalmology
DOIs
Publication statusPublished - 2016

Keywords

  • Intravenous steroids
  • Ophthalmology
  • Orbital IgG4-related disease
  • Pediatric orbital inflammatory disease
  • Perinuclear antineutrophil cytoplasmic antibodies (p-ANCA)
  • Subcutaneous methotrexate

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