Management of idiopathic XXXX with observation.

@entity10516 @entity1 @entity288
BACKGROUND: Idiopathic @entity10516 (IGM) is becoming more commonly recognized and reported more often. Currently, many recommend corticosteroids in its management. METHODS: A retrospective chart review was conducted from January 2002 to June 2013. Data were collected regarding sociodemographic information, clinical history, treatment, and outcomes. RESULTS: Thirty-seven @entity1 were found with IGM. Thirty-five @entity1 were Hispanic born outside the United States. Early in the time period reviewed, 5 @entity1 had masses excised and 5 @entity1 were lost to follow-up. Twenty-seven cases of IGM resolved with observation. @entity288 were not used in the management. The average time to resolution was 7.4  months. Three @entity1 (11%) had recurrent episodes after resolution. CONCLUSIONS: IGM is a self-limited benign condition that will resolve spontaneously without treatment. Patience with the natural history of IGM is important, as the process often includes periods of exacerbation before resolution.
