Case Report
IgG4-Related Disease, the Malignancy Mimicker: Case Series from Bahrain
| Case | Clinical presentation | Initial diagnosis | Treatment | Serum IgG4 level |
| 1 | Paravertebral mass | Inflammatory myofibroblastic tumor Idiopathic retroperitoneal fibrosis | Oral cyclophosphamide Mycophenolate mofetil Steroid and rituximab | 0.604 mg/dl (after treatment) Pretreatment level is not available | 2 | Parotid mass Pachymeninges | Inflammatory pseudotumor Non-Hodgkin’s lymphoma | Steroid and rituximab Proton therapy | 14.2 mg/dl after steroid treatment Pretreatment level is not available | 3 | Proptosis Lacrimal and salivary gland swelling | Mikulicz syndrome | Steroid and azathioprine | 340 mg/dl Pretreatment level | 4 | Recurrent pancreatitis | Ampullary adenoma | Whipple’s procedure Steroid and rituximab | 149 mg/dl Pretreatment level |
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