| Masturbation-Induced Presyncope: A Case of Painless Aortic Dissection in IgG4-Related Disease |
| Charles Sanky, Nidhish Sasi |
| Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai |
| Correspondence
Charles Sanky Email: charles.sanky@mountsinai.org |
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Received: December 28, 2023. Revised: February 21, 2024. Accepted: March 2, 2024. Published online: March 15, 2024. |
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| ABSTRACT |
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This case concerns a 59-year-old male with a past medical history of hypertension, chronic renal insufficiency, and autoimmune pancreatitis secondary to IgG4-related disease, on chronic steroids. The patient experienced acute onset of lightheadedness, a tingling sensation to both hands, and jaw tightness while masturbating. He was found to have a Type A aortic dissection. This is the first case of its kind to document an atypical, painless aortic dissection presentation in a patient with IgG4-related disease. This piece explores how fibroinflammatory sequelae of IgG4-related disease can result in aortic manifestations and discusses the importance of considering a broader differential including aortic syndrome when encountering patients presenting with atypical symptoms. |
| Keywords:
IgG4-Related Disease; Aortic Dissection; Presyncope; Masturbation |
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