TY - BOOK AU - Acharya, Indira AU - Haas, Christopher TI - Dry Crusty Nose: Not Just Rhinosinusitis! Hidden IgG4-related Disease Without IgG4 Level Rise SN - 2000-9666 PY - 2024/// KW - Automated KW - MedStar Union Memorial Hospital KW - Hospitalist KW - Internal Medicine Residency KW - Case Reports KW - Journal Article N2 - IgG4-related disease (IgG4-RD) is a fibro-inflammatory condition that can affect various organs. Localized sinonasal IgG4-RD is a rare condition characterized by bone and soft-tissue invasion. In this report, we present a case of a patient initially diagnosed with chronic rhinosinusitis, who underwent endoscopic sinus surgery and was later found to have biopsy proven IgG4-related sinonasal disease despite having normal serum levels of IgG4, resulting in erosion of the right lamina papyracea. Copyright © 2024 Greater Baltimore Medical Center UR - https://dx.doi.org/10.55729/2000-9666.1335 ER -