Dry crusty nose: Not Just Rhinosinusitis! Hidden IgG4- related disease without IgG4 Level rise

Authors

Indira Acharya, Medstar Health Internal Medicine Residency Program, Baltimore, MDFollow
Amanda Auerbach, University of Maryland Medical Center, Baltimore, MD
Marc C. Hochberg, University of Maryland Medical Center, Baltimore, MD
William S. Twaddell, University of Maryland Medical Center, Baltimore, MD
Bernadette C. Siaton, University of Maryland Medical Center, Baltimore, MD
Christopher J. Haas, Medstar Health Internal Medicine Residency Program, Baltimore, MD

Abstract

IgG4-related disease (IgG4-RD) is a fibro-inflammatory condition that can affect various organs. Localized sinonasal IgG4-RD is a rare condition characterized by bone and soft-tissue invasion. In this report, we present a case of a patient initially diagnosed with chronic rhinosinusitis, who underwent endoscopic sinus surgery and was later found to have biopsy proven IgG4-related sinonasal disease despite having normal serum levels of IgG4, resulting in erosion of the right lamina papyracea.

Recommended Citation

Acharya, Indira; Auerbach, Amanda; Hochberg, Marc C.; Twaddell, William S.; Siaton, Bernadette C.; and Haas, Christopher J. (2024) "Dry crusty nose: Not Just Rhinosinusitis! Hidden IgG4- related disease without IgG4 Level rise," Journal of Community Hospital Internal Medicine Perspectives: Vol. 14: Iss. 3, Article 24.
DOI: 10.55729/2000-9666.1335
Available at: https://scholarlycommons.gbmc.org/jchimp/vol14/iss3/24