We read with interest the article by Bijlsma and Kalmann.1 The authors described a patient who had both idiopathic orbital inflammation (IOI) and Graves ophthalmopathy (GO). This was unexpected because each has distinct clinical characteristics. They proposed a yet-undetermined common pathogenesis for these disorders.1 We present clinical data obtained from a patient that can explain a relationship between these distinct clinical entities.
Kubota T, Moritani S, Terasaki H. Ocular Adnexal IgG4-Related Lymphoplasmacytic Infiltrative Disorder and Graves Ophthalmopathy. Arch Ophthalmol. 2011;129(6):805-820. doi:10.1001/archophthalmol.2011.138