IgG4-related plasma cell granuloma of the maxillary sinus: A report of 2 cases

Ear Nose Throat J. 2015 Sep;94(9):E17-9.

Abstract

We report 2 rare cases of IgG4-related plasma cell granuloma of the maxillary sinus. Histologically, both lesions were characterized by severe lymphoplasmacytic infiltration. In 1 case, fibrous sclerosis and obliterative arteritis were observed. Immunohistochemical study demonstrated that IgG4-positive cells comprised more than 40% of the IgG-positive plasma cells. Moreover, the serum IgG4 level was elevated in both cases. A good responsiveness to steroid therapy has been seen in IgG4-related disease. From a therapeutic perspective, it is important to recognize IgG4-related plasma cell granuloma.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Granuloma, Plasma Cell / drug therapy
  • Granuloma, Plasma Cell / immunology*
  • Granuloma, Plasma Cell / pathology
  • Humans
  • Immunoglobulin G / analysis*
  • Immunoglobulin G / blood
  • Immunohistochemistry
  • Male
  • Maxillary Sinus Neoplasms / drug therapy
  • Maxillary Sinus Neoplasms / immunology*
  • Maxillary Sinus Neoplasms / pathology
  • Middle Aged

Substances

  • Adrenal Cortex Hormones
  • Immunoglobulin G