Int J Thyroidol.  2016 Nov;9(2):200-203. 10.11106/ijt.2016.9.2.200.

Thyroid Associated Ophthalomopathy in a Patient with Hashimoto's Thyroiditis

• Lee HJ
• Kim YJ
• Kweon SH
• Ryu AJ

• KMID: 2362359
• DOI: http://doi.org/10.11106/ijt.2016.9.2.200

Abstract

A 53-year-old man consulted an ophthalmologist with a chief complaint of diplopia and bilateral eyelid swelling. He was diagnosed with hypothyroidism 2 years prior at a local clinic and had been taking levothyroxine 150 mcg daily. CT scan of the orbits showed enlargement of bilateral extraocular muscles. Laboratory findings revealed hyperthyroidism due to high dose levothyroxine. Active ophthalmopathy with Hashimoto's hypothyroidism was diagnosed and the patient was treated with steroid pulse therapy. We reported a rare case of severe ophthalmopathy with Hashimoto's thyroiditis that needed steroid pulse therapy.

Keyword

Ophthalmopathy; Hashimoto's thyroiditis; Hypothyroidism; Hyperthyroidism; Steroid

MeSH Terms

Diplopia
Eyelids
Humans
Hyperthyroidism
Hypothyroidism
Middle Aged
Muscles
Orbit
Thyroid Gland*
Thyroiditis*
Thyroxine
Tomography, X-Ray Computed
Thyroxine

Figure

• 

  Fig. 1. A 53-year-old man suffered from diplopia and bilateral eyelid swelling.

• 

  Fig. 2. Ultrasound examination showed no significant findings in both thyroid except diffuse goiter and inhomoge-neous echogenicity.

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  Fig. 3. CT scan of the eyes in the patients showed en-largement of both medial rectus muscles and both inferior rectus muscles.

Reference

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