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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Verma, Rajesh Mehta, Vinod Kumar Gupta, Mani |
| Description | Author Affiliation: Verma R ( Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com) |
| Abstract | Thyroid-associated orbitopathy (TAO) is a self-limiting auto-immune condition usually associated with Grave's disease. It is characterised by ocular pain, eyelid swelling, chemosis, proptosis and keratopathy. As the mechanism for ophthamoplegia and optic neuropathy is the orbital swelling leading to mechanical restriction of ocular muscles and compression of optic nerve, one expects proptosis rather than ptosis in TAO. We describe a case of a young adult woman who presented with acute onset restriction of movement along with partial ptosis and severe diminution of vision in left eye. The MRI of orbit revealed significant swelling of recti along with signal alteration consistent with TAO. The radio-isotope thyroid scan revealed thyroiditis, and thyroid peroxidase (TPO) antibody was significantly high; hence, the diagnosis of Hashimoto thyroiditis was considered. A course of intravenous methylprednisolone followed by oral steroid was administered, which produced marked improvement in vision and extraocular movement. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2013 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Graves Disease Complications Methylprednisolone Therapeutic Use Orbital Diseases Etiology Physiopathology Drug Therapy Visual Acuity Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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