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IgG4-related disease presenting as posterior scleritis and vitritis, progressing to multifocal orbital involvement
  1. Gavin L Reynolds,
  2. Jonathan H Norris,
  3. Sher Aslam,
  4. Srilakshmi Sharma
  1. Oxford Eye Hospital, John Radcliffe Hospital, Oxford, UK
  1. Correspondence to Dr Gavin L Reynolds, gavin.reynolds{at}


IgG4-related disease (IgG4-RD) is a rare, chronic inflammatory condition that may involve nearly every organ system. Originally identified as a cause of autoimmune pancreatitis, its characteristic histological and clinical features have been found in a wide variety of inflammatory presentations, including the eye and orbit. Here we describe an example of a case of IgG4-RD initially presenting as scleritis and vitritis, with further progression to multifocal bilateral orbital involvement. Tissue biopsy of an orbital mass was highly characteristic of IgG4-RD histology and a rapid clinical response to corticosteroids was observed. This case highlights IgG4-RD as a rare cause of intraocular inflammation that may progress to involve the orbit.

  • Retina
  • Rheumatology
  • Ophthalmology
  • Immunology

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  • Contributors GLR was responsible for data collection and analysis and produced the manuscript. JHN and SA were involved in the recovery of the biopsy specimens and provided manuscript review. SS was the primary care provider for the patient and provided final review of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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