Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report

<p dir="ltr">IgG4‐related disease (IgG4‐RD) is a rare and diagnostically challenging fibroinflammatory condition characterized by diverse clinical presentations. We present the case of a 33‐year‐old male with a progressively enlarging right groin swelling over 6 months. A similar epi...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Mohamed Gaafar Mohamedali (17945609) (author)
مؤلفون آخرون: Bassem Alhariri (9538578) (author), Sana Mohamed (22457815) (author), Osman Osama Elhassan (22457791) (author), Muayad Ahmad (22457818) (author), Afraa Fadul (20321847) (author)
منشور في: 2025
الموضوعات:
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author Mohamed Gaafar Mohamedali (17945609)
author2 Bassem Alhariri (9538578)
Sana Mohamed (22457815)
Osman Osama Elhassan (22457791)
Muayad Ahmad (22457818)
Afraa Fadul (20321847)
author2_role author
author
author
author
author
author_facet Mohamed Gaafar Mohamedali (17945609)
Bassem Alhariri (9538578)
Sana Mohamed (22457815)
Osman Osama Elhassan (22457791)
Muayad Ahmad (22457818)
Afraa Fadul (20321847)
author_role author
dc.creator.none.fl_str_mv Mohamed Gaafar Mohamedali (17945609)
Bassem Alhariri (9538578)
Sana Mohamed (22457815)
Osman Osama Elhassan (22457791)
Muayad Ahmad (22457818)
Afraa Fadul (20321847)
dc.date.none.fl_str_mv 2025-03-27T09:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ccr3.70224
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Unusual_Presentation_of_an_Orphan_Syndrome_Masquerading_as_Castleman_Disease_in_a_Young_Adult_Diagnostic_Challenges_and_Clinical_Implications_A_Case_Report/30393319
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Immunology
Castleman disease
differential diagnosis
groin swelling
histopathology
IgG4-related disease
lymphadenopathy
dc.title.none.fl_str_mv Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">IgG4‐related disease (IgG4‐RD) is a rare and diagnostically challenging fibroinflammatory condition characterized by diverse clinical presentations. We present the case of a 33‐year‐old male with a progressively enlarging right groin swelling over 6 months. A similar episode occurred 4 years prior in Nepal, with an inconclusive biopsy. Initial investigations pointed to chronic subcutaneous infectious granulomatous disease with lymphadenopathy. Following multiple missed appointments, the patient underwent excision of a soft tissue mass and lymph nodes. Histopathology revealed features consistent with IgG4‐RD, including follicular hyperplasia and a Castleman disease‐like pattern, negative for malignancy. This case underscores the diagnostic challenges of IgG4‐RD and the importance of considering it in the differential diagnosis of chronic lymphadenopathy. Timely follow‐up, histological evaluation, and awareness of IgG4‐RD diagnostic criteria are crucial for proper management and avoiding delayed treatment.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.70224" target="_blank">https://dx.doi.org/10.1002/ccr3.70224</a></p>
eu_rights_str_mv openAccess
id Manara2_095cc613e81b70765ecc6f22f035839d
identifier_str_mv 10.1002/ccr3.70224
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30393319
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case ReportMohamed Gaafar Mohamedali (17945609)Bassem Alhariri (9538578)Sana Mohamed (22457815)Osman Osama Elhassan (22457791)Muayad Ahmad (22457818)Afraa Fadul (20321847)Biomedical and clinical sciencesClinical sciencesImmunologyCastleman diseasedifferential diagnosisgroin swellinghistopathologyIgG4-related diseaselymphadenopathy<p dir="ltr">IgG4‐related disease (IgG4‐RD) is a rare and diagnostically challenging fibroinflammatory condition characterized by diverse clinical presentations. We present the case of a 33‐year‐old male with a progressively enlarging right groin swelling over 6 months. A similar episode occurred 4 years prior in Nepal, with an inconclusive biopsy. Initial investigations pointed to chronic subcutaneous infectious granulomatous disease with lymphadenopathy. Following multiple missed appointments, the patient underwent excision of a soft tissue mass and lymph nodes. Histopathology revealed features consistent with IgG4‐RD, including follicular hyperplasia and a Castleman disease‐like pattern, negative for malignancy. This case underscores the diagnostic challenges of IgG4‐RD and the importance of considering it in the differential diagnosis of chronic lymphadenopathy. Timely follow‐up, histological evaluation, and awareness of IgG4‐RD diagnostic criteria are crucial for proper management and avoiding delayed treatment.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.70224" target="_blank">https://dx.doi.org/10.1002/ccr3.70224</a></p>2025-03-27T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.70224https://figshare.com/articles/journal_contribution/Unusual_Presentation_of_an_Orphan_Syndrome_Masquerading_as_Castleman_Disease_in_a_Young_Adult_Diagnostic_Challenges_and_Clinical_Implications_A_Case_Report/30393319CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/303933192025-03-27T09:00:00Z
spellingShingle Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
Mohamed Gaafar Mohamedali (17945609)
Biomedical and clinical sciences
Clinical sciences
Immunology
Castleman disease
differential diagnosis
groin swelling
histopathology
IgG4-related disease
lymphadenopathy
status_str publishedVersion
title Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
title_full Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
title_fullStr Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
title_full_unstemmed Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
title_short Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
title_sort Unusual Presentation of an Orphan Syndrome Masquerading as Castleman Disease in a Young Adult: Diagnostic Challenges and Clinical Implications: A Case Report
topic Biomedical and clinical sciences
Clinical sciences
Immunology
Castleman disease
differential diagnosis
groin swelling
histopathology
IgG4-related disease
lymphadenopathy