IgG4-related Disease Manifesting as Pachymeningitis and Aortitis

To the Editor: A 57-year-old Iraqi woman presented with a 3-year history of right temporal headache, weight loss, and fatigue. She denied fevers, chills, night sweats, visual changes, jaw claudication, joint pain, or focal neurologic symptoms. Her medications included aspirin and captopril. She had received 1 month of oral prednisone (dose unclear) 4 months prior to presentation. Her vital signs were unremarkable, including symmetric blood...