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The patient experienced acute onset of lightheadedness, a tingling sensation in both hands, and jaw tightness while masturbating. He was found to have 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 the 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.<\/jats:p>","DOI":"10.15441\/ceem.23.182","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T01:38:23Z","timestamp":1710466703000},"page":"86-89","update-policy":"https:\/\/doi.org\/10.15441\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Masturbation-induced presyncope: a case report of painless aortic dissection in immunoglobulin G4-related disease"],"prefix":"10.15441","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4165-5081","authenticated-orcid":true,"given":"Charles","family":"Sanky","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8133-6707","authenticated-orcid":true,"given":"Nidhish","family":"Sasi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6106","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"volume-title":"Aortic dissection [updated 2023 Apr 23]. 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