Flash information
- Document
- Authentic clinical figure
- Focus
- IgG4-related orbitopathy
- Limitation
- Steroid response alone does not diagnose IgG4-related disease.
Definition
Orbital disease may resemble thyroid orbitopathy.
Examination or reading method
Inspect eyelids and asymmetry; correlate with MRI.
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.
Associated findings
Ask about diplopia and other glandular involvement.
Red flags
Visual deterioration requires prompt assessment.
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