Case Reports
22 March 2024
Vol. 76 No. 1 (2024)
Adult ocular adnexal xanthogranulomatous disease associated with immunoglobulin G4-related disease: an unusual association
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
1158
Views
294
Downloads
Authors
Adult-onset xanthogranuloma (AOX) and immunoglobulin G4-related disease (IgG4-RD) are uncommon fibrosing conditions that may exhibit localized ocular manifestations and occasionally systemic symptoms. These conditions exhibit overlapping clinical and histological features, suggesting a potential correlation between them, although their exact relationship remains unclear. This paper presents the case of a black male patient exhibiting typical histological indications of both AOX and IgG4-RD. The patient responded positively to corticosteroid treatment.
Altmetrics
Downloads
Download data is not yet available.
Citations
Kerstetter J, Wang J. Adult orbital xanthogranulomatous disease. Dermatol Clin 2015; 33: 457-63. DOI: https://doi.org/10.1016/j.det.2015.03.010
Wallace ZS, Zhang Y, Perugino CA, Naden R, Choi HK, Stone JH. Clinical phenotypes of IgG4-related disease: an analysis of two international cross-sectional cohorts. Ann Rheum Dis 2019; 78: 406-12 DOI: https://doi.org/10.1136/annrheumdis-2018-214603
Burris CKH, Rodriguez ME, Raven ML, Burkat CN, Albert DM. Adult-onset asthma and periocular xanthogranulomas associated with systemic IgG4-related disease. Am J Ophthalmol Case Rep 2016; 1: 34-7. DOI: https://doi.org/10.1016/j.ajoc.2016.03.006
London J, Martin A, Soussan M, Badelon I, Gille T, Uzunhan Y, et al. Adult-onset asthma and periocular xanthogranuloma (AAPOX), a rare entity with a strong link to IgG4-related disease. Medicine 2015; 94: e1916. DOI: https://doi.org/10.1097/MD.0000000000001916
Singh K, Rajan K, Eberhart C. Orbital necrobiotic xanthogranuloma associated with systemic IgG4 disease. Ocul Immunol Inflamm 2010; 18: 373-8. DOI: https://doi.org/10.3109/09273948.2010.490629
Wallace ZS, Naden RP, Chari S, Choi H, Della-Torre E, Dicaire JF, et al. The 2019 American College of Rheumatology/European League Against Rheumatism classification criteria for IgG4-related disease. Arthritis Rheumatol 2020; 72: 7-19. DOI: https://doi.org/10.1002/art.41120
Andron AA, Nair AG, Della Rocca D, Della Rocca RC, Reddy HS. Concomitant adult onset xanthogranuloma and IgG4-related orbital disease: a rare occurrence. Orbit 2022; 41: 108-11. DOI: https://doi.org/10.1080/01676830.2020.1814353
Asproudis I, Kanari M, Ntountas I, Ragos V, Goussia A, Batistatou A, et al. Successful treatment with rituximab of IgG4-related disease coexisting with adult-onset asthma and periocular xanthogranuloma. Rheumatol Int 2020; 40: 671-7. DOI: https://doi.org/10.1007/s00296-019-04409-2
Leung KCP, Ko P, Ho CHJ, Ko TCS. Adult onset xanthogranuloma associated with IgG4-related disease. Korean J Ophthalmol 2018; 32: 424-5. DOI: https://doi.org/10.3341/kjo.2017.0145
McKelvie P, McNab AA, Hardy T, Rathi V. Comparative study of clinical, pathological, radiological, and genetic features of patients with adult ocular adnexal xanthogranulomatous disease, Erdheim-Chester disease, and IgG4-related disease of the orbit/ocular adnexa. Ophthalmic Plast Reconstr Surg 2017; 33: 112-9. DOI: https://doi.org/10.1097/IOP.0000000000000661
Stone JH, Zen Y, Deshpande V. IgG4-related disease. N Engl J Med 2012; 366: 539-51. DOI: https://doi.org/10.1056/NEJMra1104650
Pomponio G, Olivari D, Mattioli M, Angeletti A, Rossetti G, Goteri G, et al. Sustained clinical response after single course of rituximab as first-line monotherapy in adult-onset asthma and periocular xanthogranulomas syndrome associated with IgG4-related disease. Medicine 2018; 97: e11143. DOI: https://doi.org/10.1097/MD.0000000000011143
Ortiz Salvador JM, Subiabre Ferrer D, Pérez Ferriols A. Adult Xanthogranulomatous Disease of the Orbit: Clinical Presentations, Evaluation, and Management. Actas Dermosifiliogr 2017; 108: 400-6. DOI: https://doi.org/10.1016/j.adengl.2017.03.030
How to Cite
Adult ocular adnexal xanthogranulomatous disease associated with immunoglobulin G4-related disease: an unusual association. (2024). Reumatismo, 76(1). https://doi.org/10.4081/reumatismo.2024.1641
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
