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Droopy eyelid due to IgG4-related dacryoadenitis
  1. Ryosuke Takase,
  2. Hideharu Hagiya,
  3. Kazuki Tokumasu,
  4. Yoshito Nishimura,
  5. Atsunobu Sakurai,
  6. Kou Hasegawa,
  7. Yoshihisa Hanayama,
  8. Fumio Otsuka
  1. Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan
  1. Correspondence to Hideharu Hagiya, Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; hagiya{at}okayama-u.ac.jp

http://dx.doi.org/10.1136/postgradmedj-2020-138416

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    A 75-year-old man with well-controlled type 2 diabetes was referred to our department because of urinary obstruction. He developed retroperitoneal fibrosis 1 year prior to the referral and underwent a ureteral stent insertion at that time. Around the same period, double vision and eyelid ptosis of the right eye coincidentally appeared (figure 1A). We performed MRI of the orbit; it revealed bilateral lacrimal enlargement, especially at the right side (figure 1B, C …

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    Footnotes

    • Contributors RT, KT, YN, AS, KH and YH managed the patient. RT and HH wrote the manuscript. FO supervised the management and description of the case.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Consent obtained directly from patient(s).

    • Provenance and peer review Not commissioned; internally peer reviewed.