Graves’ Ophthalmopathy Misdiagnosed as Relapsing Conjunctivitis
| Autor: | Leonidas Papazisis, Petros Keryttopoulos, Dionyssia Papadopoulou, Irini Chatziralli, Evgenia Kanonidou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
genetic structures business.industry Signs and symptoms Disease Published: September 2010 medicine.disease Conjunctivitis Dermatology Hyperthyroidism eye diseases Keratitis Surgery Graves' ophthalmopathy Eyelid swelling Ophthalmology lcsh:Ophthalmology lcsh:RE1-994 Graves’ ophthalmopathy medicine Medical history sense organs General hospital Foreign body business |
| Zdroj: | Case Reports in Ophthalmology, Vol 1, Iss 2, Pp 53-55 (2010) Case Reports in Ophthalmology |
| ISSN: | 1663-2699 |
| Popis: | a Ophthalmology, b Internal Medicine, and c Surgery, General Hospital of Veroia, Veroia, Greece Abstract A 59-year-old female patient presented at the outpatients' Department of Ophthalmology with epiphora, eyelid swelling, and a foreign body feeling in the right eye. The symptoms were present for 4 months, and the patient was treated as suffering from relapsing conjunctivitis. The slit lamp examination revealed keratitis due to exposure, related with the deficient closure of the eyelids. There was a 2 mm difference in the readings with the Hertel exophthalmometry examination between the eyes. Her medical history was clear, and she was referred for computed tomography of the orbits and brain and biochemical examinations (FT3, FT4, and TSH) to investigate the presence of an intraorbital mass. FT3 was significantly increased and TSH was accordingly low, indicating the diagnosis of Graves' disease, which presented without other signs and symptoms apart from ophthalmopathy. Computed tomography scan excluded the diagnosis of an intraorbital mass. Therefore, it is important not to underestimate the ocular manifestations of systemic diseases. |
| Databáze: | OpenAIRE |
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