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Dry Crusty Nose: Not Just Rhinosinusitis! Hidden IgG4-related Disease Without IgG4 Level Rise.

Indira AcharyaAmanda AuerbachMarc C HochbergWilliam S TwaddellBernadette C SiatonChristopher J Haas
Published in: Journal of community hospital internal medicine perspectives (2024)
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.
Keyphrases
  • chronic rhinosinusitis
  • soft tissue
  • minimally invasive
  • oxidative stress
  • bone mineral density