Abstract
IgG4-related disease (IgG4-RD) which is a protein disorder presented as a mass in the right carotid triangle in a 30 year male patient, who underwent battery of tests is described. The radiologist opined the mass as paraganglioma and the spindle shaped character of the mass also suggested neurogenic tumor in differential diagnosis. Reference to vascular surgeon also opined the same, and adviced for incisional biopsy. Histopathology report suggested IgG4-RD and immunochemistry confirmed the final diagnosis. The neck mass which we opined as a single organ disease, proved to be multiorgan disease in PET scan.
Similar content being viewed by others
References
Stone JH, Khosroshahi A, Deshpande V et al (2012) Recommendations for the nomenclature of IgG4-related disease and its individual organ system manifestations. Arthritis Rheum 64(10):3061–3067
Cheuk W, Tam FK, Chan AN, Luk IS, Yuen AP, Chan WK, Hung TC, Chan JK (2010) Idiopathic cervical fibrosis—a new member of IgG4-related sclerosing diseases: report of 4 cases, 1 complicated by composite lymphoma. Am J Surg Pathol 34(11):1678–1685
Zen Y, Nakanuma Y (2010) IgG4-related disease: a cross-sectional study of 114 cases. Am J Surg Pathol 34:1812
Cheuk W, Chan JK (2010) IgG4-related sclerosing disease: a critical appraisal of an evolving clinicopathologic entity. Adv Anat Pathol 17:303
Wallace ZS, Mattoo H, Carruthers M et al (2015) Plasmablasts as a biomarker for IgG4-related disease, independent of serum IgG4 concentrations. Ann Rheum Dis 74:190
Bateman AC, Deheragoda MG (2009) IgG4-related systemic sclerosing disease—an emerging and under-diagnosed condition. Histopathology 55:373
Sato Y, Kojima M, Takata K et al (2010) Multicentric Castleman’s disease with abundant IgG4-positive cells: a clinical and pathological analysis of six cases. J Clin Pathol 63:1084
Khosroshahi A, Bloch DB, Deshpande V, Stone JH (2010) Rituximab therapy leads to rapid decline of serum IgG4 levels and prompt clinical improvement in IgG4-related systemic disease. Arthritis Rheum 62:1755
Khosroshahi A, Stone JH (2011) Treatment approaches to IgG4-related systemic disease. Curr Opin Rheumatol 23:67
Acknowledgments
We thank Apollo Hospital for allowing us to use hospital records and material for preparing this manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Prof. Dr. T. Ramadass, Dr. V Balaji, Dr. Sheba, Dr. Vali Ahmed, Dr. Raees declare that they have no conflict of interest.
Ethical Approval
This article does not contain any studies with animals performed by any of the authors.
Informed Consent
Informed consent was obtained from the patient included in the study.
Rights and permissions
About this article
Cite this article
Ramadass, T., Balaji, V., Sheba, S.K.J. et al. IgG4-Related Disease (IgG4-RD) Presenting as a Mass in the Carotid Triangle Masquerading Paraganglioma. Indian J Otolaryngol Head Neck Surg 69, 259–262 (2017). https://doi.org/10.1007/s12070-016-0976-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-016-0976-2