Maj Anna Christensen is a Family Medicine physician, Bhagwan Dass is a Staff Nephrologist, Maj Michael Weisbruch is a Staff Attending in Internal Medicine, and Maj Nathan Kelsey is a Staff Radiologist, all at Eglin Air Force Hospital in Florida. Paulette Hahn is a Clinical Associate Professor at the University of Florida, Department of Medicine, Division of Rheumatology in Gainesville. Correspondence: Maj Christensen (anna.m.christensen2. mil@mail.mil)
Author disclosures The authors report no actual or potential conflicts of interest with regard to this article.
Disclaimer The opinions expressed herein are those of the authors and do not necessarily reflect those of Federal Practitioner, Frontline Medical Communications Inc., the US Government, or any of its agencies. This article may discuss unlabeled or investigational use of certain drugs. Please review the complete prescribing information for specific drugs or drug combinations—including indications, contraindications, warnings, and adverse effects—before administering pharmacologic therapy to patients.
IgG4-RD is a complicated disease process that requires a high index of suspicion to diagnose. In addition, for patients who are diagnosed with this condition, its ability to mimic other pathologic conditions should be taken into account with manifestation of any new illness. This case emphasizes the ability of this disease to localize in multiple organs over time and the need for lifetimesurveillance in patients with IgG4-RD disease.