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Neck abscess: An unusual clinical presentation of immunoglobulin G4 related disease
Author(s) -
Tirelli Giancarlo,
Gardenal Nicoletta,
Del Piero Giulia Carolina
Publication year - 2016
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25846
Subject(s) - medicine , neck dissection , abscess , neck mass , presentation (obstetrics) , cervical lymphadenopathy , surgery , disease , pathology , carcinoma
Immunoglobulin G4 related disease (IgG4‐RD) is a systemic fibroinflammatory disease that can affect almost any organ. Only a few cases of IgG4‐RD have been reported to present with cervical lymphadenopathy and none with neck abscesses. We report a case in a patient with bilateral neck mass and bilateral neck abscesses. The patient underwent bilateral neck incision for drainage of the abscesses on two occasions, followed by a neck dissection after a third recurrence. Immunohistochemistry of the specimen revealed IgG4‐RD. Although surgery is not the recommended first‐line approach for IgG4‐RD, only a neck dissection enabled clinical resolution of the lesions in our patient. Level of Evidence NA Laryngoscope , 126:1114–1116, 2016