title: Immunoglobulin G4-positive lymphoplasmacytic infiltration in a sarcoidal eyelid mass.
abstract: A 62-year-old woman presented with a one month history of a hard, nonmobile subcutaneous mass along the right nasojugal fold. Hematological studies showed elevated serum immunoglobulin G4 levels. Histopathological examination of the biopsy sample disclosed immunoglobulin G4-positive lymphoplasmacytic infiltration with a storiform fibrosis, vein occlusion, and epithelioid granulomas with necrosis. Systemic review corresponded to a sarcoidosis. Without treatment, the eyelid mass did not recur six months after the excisional biopsy.
authors.affiliation: a Department of Ophthalmology , Aichi Medical University , Nagakute , Aichi , Japan.|b Department of Ophthalmology , University of Seonam College of Medicine, Presbyterian Medical Center , Jeonju , Korea , and.
authors.forename: Hyera
authors.initials: H
authors.lastname: Kang
authors.affiliation: a Department of Ophthalmology , Aichi Medical University , Nagakute , Aichi , Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Takahashi
authors.affiliation: c Department of Pathology , Aichi Medical University Hospital , Nagakute , Aichi , Japan.
authors.forename: Emiko
authors.initials: E
authors.lastname: Takahashi
authors.affiliation: a Department of Ophthalmology , Aichi Medical University , Nagakute , Aichi , Japan.
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Kakizaki
mesh_terms: D005143:Eyelids / Q000473:pathology*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood*; D008875:Middle Aged; D012507:Sarcoidosis / Q000097:blood / Q000175:diagnosis*
chemical_list: D007074:Immunoglobulin G
keywords: Epithelioid granuloma; Immunoglobulin G4; Sarcoidosis; Storiform fibrosis; Vein occlusion