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June 2011

Ocular Adnexal IgG4-Related Lymphoplasmacytic Infiltrative Disorder and Graves Ophthalmopathy

Author Affiliations

Author Affiliations: Departments of Ophthalmology (Dr Kubota) and Pathology (Dr Moritani), National Hospital Organization, Nagoya Medical Center; and Department of Ophthalmology, Nagoya University Medical School (Dr Terasaki), Nagoya, Japan.

Arch Ophthalmol. 2011;129(6):805-820. doi:10.1001/archophthalmol.2011.138

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.