IgG4-Related M ikulicz's Disease Associated w ith Thyroiditis：a Case Report and Review of the Literature
2014-09-17 10:10:56YujiaoZhangYiDuKaijunLiJianfengHe
眼科學報
2014年1期
Yujiao Zhang，Yi Du，Kaijun Li， Jianfeng He
Department of Ophthalmology， First Affiliated Hospital of Guangxi Medical University， Nanning 530021，China
Introduction
Case report
Figure 1 Computed tomography（CT） and contrast-enhanced computed tomography scans of a 25-year-old man w ith IgG4-related Mikulicz's disease and thyroiditis.In the CT scan， （A）axial view， （B）coronal view and （C）sagittal view （arrows）show bilateral swelling of the lachrymal glands， no hypertrophy of the extraocular muscles， and no compression of the optic nerves； In the contrast-enhanced CT scan， （D） axial view （arrows）shows no enhancement of the lachrymal glands.
Figure 2 Microscopic sections from the left-sided dacryoadenectomy revealed （A）few atrophic acinar cells and a dense lymphoplasmacytic infiltrate and fibrosis， and （B） a mixed infiltrate of immature plasma cells， mature plasma cells， small lymphocytes and scattered eosinophils in lachrymal gland.hematoxylin-eosin； original magnification： （A）×100， （B）×400.
Discussion
Historical cognition
The debate on nomenclature
Etiology and pathogenesis
Pathogenetic characteristics
Clinical exam ination
Diagnosis
Differential diagnosis
Treatment and prognosis
Conclusion
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