Original MICA image-reading exercise, unscored. No clinical narrative absent from the source is added.
- Describe visible findings before proposing an interpretation.
- Suggest an interpretation and at least one image limitation.
- Which clinical findings or investigations would complement this observation?
Reveal the explained reading
IgG4-related orbitopathy
- Document
- Authentic clinical figure
- Focus
- IgG4-related orbitopathy
- Limitation
- Steroid response alone does not diagnose IgG4-related disease.
Morphological description
Eyelid swelling changes the periocular appearance.
Context and interpretation
The case’s IgG4 diagnosis required additional evidence.
Differential diagnoses
Consider thyroid disease, orbital inflammation and tumours.
Pitfalls and limitations
Steroid response alone does not diagnose IgG4-related disease.
Take-home message
Proptosis is not invariably thyroid-related.
Sources
Documentary review: 2026-10-15
Media source & rights
- Author
- Erdei, Annamaria; Steiber, Zita; Molnar, Csaba; Berenyi, Ervin; Nagy, Endre V.
- Original source
- Erdei, Annamaria; Steiber, Zita; Molnar, Csaba; Berenyi, Ervin; Nagy, Endre V. · Exophthalmos in a young woman with no Graves’ disease – a case report of IgG4-related orbitopathy · CC BY 4.0 · https://link.springer.com/article/10.1186/s12886-018-0672-y
- Licence
- CC BY 4.0
- Changes
- Full original field and annotations retained; WebP conversion, EXIF/GPS metadata removed, proportional derivatives without upscaling, cropping or medical retouching.
- Dimensions
- 895 × 777 px
- Check
- 2026-10-15