Unilateral proptosis in a patient with thyroid eye disease: A case report

被引：0

作者：

Bhattarai, Himal Bikram ^{[1
,2
]}

Thapaliya, Ishwor ^{[3
]}

Dhungana, Shrawan ^{[3
]}

Singh, Prabesh Bikram ^{[3
]}

Bhattarai, Madhur ^{[3
,6
]}

Pokhrel, Bidushi ^{[4
]}

Khanal, Santosh ^{[3
]}

Lamichhane, Saral ^{[1
,2
]}

Gautam, Swotantra ^{[5
]}

Basnet, Bibhusan ^{[5
]}

机构：

[1] Gandaki Med Coll, Teaching Hosp, Pokhara, Nepal

[2] Gandaki Med Coll, Res Ctr, Pokhara, Nepal

[3] Tribhuvan Univ, Inst Med, Maharajgunj, Nepal

[4] Nepalese Army Inst Hlth Sci, Kathmandu, Nepal

[5] BP Koirala Inst Hlth Sci, Dharan, Nepal

[6] Tribhuvan Univ, Inst Med, Kathmandu 3, Maharajgunj 44600, Nepal

来源：

SAGE OPEN MEDICAL CASE REPORTS | 2023年 / 11卷

关键词：

Graves' disease; unilateral proptosis; autoimmune; Graves' ophthalmopathy; thyroid eye disease; GRAVES-DISEASE; OPHTHALMOPATHY;

D O I：

10.1177/2050313X231190669

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Unilateral proptosis is an abnormality in which one eye sticks out forward more than the other. Bulging of the eye is commonly seen in Graves' ophthalmopathy, but it's mostly bilateral. Thyroid eye disease presents as the most common extrathyroidal manifestation of Graves' disease, and rarely leads to unilateral proptosis. A 25-year-old female with a history of weight loss, menstrual irregularities, and palpitations presented with progressive right eye bulging, which was further confirmed by magnetic resonance imaging and biochemical investigations. Magnetic resonance imaging of the orbit revealed unilateral extraocular muscle enlargement and enhancement with sparing of the tendons. Timely therapy is crucial for reversing the ocular manifestations of thyroid eye disease.

引用

页数：5

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