Zeng Huirun, Peng Xiaolin, He Weimin
Department of Ophthalmology, West China Hospital of Sichuan University, China.
J Int Med Res. 2025 Jun;53(6):3000605251345239. doi: 10.1177/03000605251345239. Epub 2025 Jun 10.
Immunoglobulin G4-related ophthalmic disease is an autoimmune condition characterized histologically by dense lymphoplasmacytic infiltration, obliterative phlebitis, and storiform fibrosis. Orbital hemangioma is one of the most common primary orbital tumors in adults. The coexistence of immunoglobulin G4-related ophthalmic disease and orbital hemangioma is extremely rare. This report presents the case of a man in his early 30s diagnosed with immunoglobulin G4-related ophthalmic disease. He was treated with glucocorticoid therapy and gamma knife radiosurgery. Herein, we described the clinical presentation, imaging findings, histopathology, treatment, and outcomes of this rare case to provide a reference for future diagnosis and management.
免疫球蛋白G4相关性眼病是一种自身免疫性疾病,组织学特征为密集的淋巴细胞和浆细胞浸润、闭塞性静脉炎和席纹状纤维化。眼眶血管瘤是成人最常见的原发性眼眶肿瘤之一。免疫球蛋白G4相关性眼病与眼眶血管瘤并存极为罕见。本报告介绍了一名30岁出头男性被诊断为免疫球蛋白G4相关性眼病的病例。他接受了糖皮质激素治疗和伽玛刀放射外科治疗。在此,我们描述了这一罕见病例的临床表现、影像学表现、组织病理学、治疗及结果,为未来的诊断和管理提供参考。