Masturbation-Induced Presyncope: A Case of Painless Aortic Dissection in IgG4-Related Disease

Abstract

Aortic dissection is a cardiovascular emergency, often presenting with tearing chest pain radiating to the back in patients with substantial risk factors. Atypical presentations are rare. IgG-4 related disease is a complicated rheumatological disease with multiple manifestations. This is the first case of its kind to document an atypical, painless aortic dissection presentation in a patient with IgG4related 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 with atypical symptoms.