A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review

IgG4-related disease (IgG4-RD) is a systemic inflammatory condition characterized by tissue infiltration with IgG4-positive plasma cells and a tendency to form mass-like lesions in various organs. IgG4-related sinusitis, although a relatively rare manifestation of IgG4-RD, significantly impacts the...

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Main Authors: Dong Won Jung, Ji Yun Choi
Format: Article
Language:English
Published: Korean Rhinologic Society 2024-11-01
Series:Journal of Rhinology
Subjects:
Online Access:http://j-rhinology.org/upload/pdf/jr-2024-00025.pdf
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author Dong Won Jung
Ji Yun Choi
author_facet Dong Won Jung
Ji Yun Choi
author_sort Dong Won Jung
collection DOAJ
description IgG4-related disease (IgG4-RD) is a systemic inflammatory condition characterized by tissue infiltration with IgG4-positive plasma cells and a tendency to form mass-like lesions in various organs. IgG4-related sinusitis, although a relatively rare manifestation of IgG4-RD, significantly impacts the paranasal sinuses. A 52-year-old man presented with persistent rhinorrhea, nasal obstruction, and headaches. He was diagnosed with IgG4-RD involving the bilateral nasal cavity, paranasal sinuses, submandibular glands, lacrimal glands, and parotid glands. We recently managed a case of IgG4-related sinusitis, which was successfully diagnosed and treated. This condition represents a distinct subset of chronic rhinosinusitis, with unique pathophysiological and clinical features. Accurate diagnosis and effective management of IgG4-related sinusitis require a high index of suspicion and a multidisciplinary approach.
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spelling doaj-art-ca7c82eef2074a3c9455ab43ac3440db2025-08-20T01:59:17ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612024-11-0131317918310.18787/jr.2024.00025827A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature ReviewDong Won Jung0Ji Yun Choi Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Republic of KoreaIgG4-related disease (IgG4-RD) is a systemic inflammatory condition characterized by tissue infiltration with IgG4-positive plasma cells and a tendency to form mass-like lesions in various organs. IgG4-related sinusitis, although a relatively rare manifestation of IgG4-RD, significantly impacts the paranasal sinuses. A 52-year-old man presented with persistent rhinorrhea, nasal obstruction, and headaches. He was diagnosed with IgG4-RD involving the bilateral nasal cavity, paranasal sinuses, submandibular glands, lacrimal glands, and parotid glands. We recently managed a case of IgG4-related sinusitis, which was successfully diagnosed and treated. This condition represents a distinct subset of chronic rhinosinusitis, with unique pathophysiological and clinical features. Accurate diagnosis and effective management of IgG4-related sinusitis require a high index of suspicion and a multidisciplinary approach.http://j-rhinology.org/upload/pdf/jr-2024-00025.pdfigg4-related diseasesinusitisheadache
spellingShingle Dong Won Jung
Ji Yun Choi
A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
Journal of Rhinology
igg4-related disease
sinusitis
headache
title A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
title_full A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
title_fullStr A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
title_full_unstemmed A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
title_short A Rare Presentation of IgG4-Related Sinusitis With Chronic Nasal Obstruction and Headache: A Case Report and Literature Review
title_sort rare presentation of igg4 related sinusitis with chronic nasal obstruction and headache a case report and literature review
topic igg4-related disease
sinusitis
headache
url http://j-rhinology.org/upload/pdf/jr-2024-00025.pdf
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