title: IgG4-related disease presenting as panuveitis without scleral involvement.
abstract: BACKGROUND
  The following case emphasizes the importance of including IgG4-related disease (RD) in the differential diagnosis of intraocular inflammation and multiple cranial nerve palsies.
  
  
  RESULTS
  A 33-year-old man, with a history of idiopathic bilateral panuveitis, presented with a new right pupillary-sparing partial third nerve palsy, which spontaneously resolved in 2 weeks, but was followed 1 month later, by a right sixth nerve palsy, which also resolved within a few weeks. Motility disturbance was accompanied by a decrease in the central acuity in the right eye. Magnetic resonance imaging/angiography (MRI/MRA) demonstrated a densely enhancing osteodestructive skull base process extending through the cavernous sinus and into the right superior orbital fissure. Biopsy of the lesion was consistent with IgG4-related disease (RD).
  
  
  CONCLUSIONS
  This is the first reported case of IgG4-RD associated panuveitis without scleral involvement, expanding the list of clinical manifestations of the IgG4-RD.
authors.affiliation: Department of Ophthalmology, Université de Montréal, 5415 de l'Assomption Boulevard, Montreal, Quebec, H1T 2M4, Canada. kinda.najem@gmail.com.
authors.forename: Kinda
authors.identifier: http://orcid.org/0000-0002-3013-3408
authors.initials: K
authors.lastname: Najem
authors.affiliation: Department of Ophthalmology, University of Toronto, 340 College Street Suite 501, Toronto, Ontario, M5T 3A9, Canada.
authors.forename: Larissa
authors.initials: L
authors.lastname: Derzko-Dzulynsky
authors.affiliation: Department of Ophthalmology, University of Toronto, 340 College Street Suite 501, Toronto, Ontario, M5T 3A9, Canada.|, 801 Eglinton Avenue West, Suite 301, Toronto, Ontario, M5N 1E3, Canada.
authors.forename: Edward A
authors.initials: EA
authors.lastname: Margolin
keywords: Cranial nerve palsies; IgG4-related disease; Panuveitis