Co-existing ligneous conjunctivitis and IgG4-related disease

Indian J Ophthalmol. 2016 Jul;64(7):532-4. doi: 10.4103/0301-4738.190154.

Abstract

Herein, we elucidate that ligneous conjunctivitis (LC) was proved as an IgG4-related disease (IgG4-RD) by a series of pathologic studies from primary and recurrent episodes of an LC patient. LC was diagnosed based on clinical presentation and pathological appearance; furthermore, combined with serological examination and immunohistochemical study, the case also conformed to the diagnosis of IgG4-RD. The IgG4-RD, broadly discussed in recent times, is an idiopathic disease entity with tissue fibrosis possibly involving multiple organs. To the best of our knowledge, IgG4-RD has never been reported with LC. By reporting the clinical course and literature review, we should pay attention to the association between these two diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autoimmune Diseases / complications*
  • Autoimmune Diseases / diagnosis
  • Autoimmune Diseases / immunology
  • Conjunctiva / pathology*
  • Conjunctivitis / complications*
  • Conjunctivitis / diagnosis
  • Conjunctivitis / immunology
  • Female
  • Humans
  • Immunoglobulin G / immunology*
  • Immunohistochemistry
  • Microscopy, Fluorescence
  • Plasminogen / deficiency*
  • Plasminogen / immunology
  • Skin Diseases, Genetic / complications*
  • Skin Diseases, Genetic / diagnosis
  • Skin Diseases, Genetic / immunology

Substances

  • Immunoglobulin G
  • Plasminogen

Supplementary concepts

  • Plasminogen Deficiency, Type I