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Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Grave's Ophthalmopathy

History: 45 year-old man with a past history of malignant testicular neoplasm and Hashimoto’s thyroiditis, presents now with a several-month history of worsening eye swelling, dryness, and irritation, gradually progressing to lid retraction and intermittent blurry vision, prompting a referral to ophthalmology. He denies recent trauma, fever, chills, nausea, headaches.

Findings: • Bilateral proptosis and periorbital tissue edema • Enlarged inferior recti muscles • Increased periorbital fat distribution • Bellies of medial recti enlarged with normal tapering of tendons. • Enlarged superior, medial, inferior rectus muscles

Ddx: • Periorbital / Orbital Cellulitis • Histiocytosis • Orbital Myositis / Orbital Pseudotumor • Grave’s Orbitopathy • Lymphoma

Dxhow: Clinical findings and CT images

Exam: PE: Bilateral proptosis, mild periorbital edema, sclera clear, PERRLA, EOMI, no discharge

No MeSH data available.


Noncontrast axial CT image through the orbits.  Soft tissue windows reveal bilateral proptosis, periorbital tissue edema, intact but enlarged inferior recti muscles, increased periorbital fat distribution
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MPX1072_synpic34897: Noncontrast axial CT image through the orbits. Soft tissue windows reveal bilateral proptosis, periorbital tissue edema, intact but enlarged inferior recti muscles, increased periorbital fat distribution


Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

Noncontrast axial CT image through the orbits.  Soft tissue windows reveal bilateral proptosis, periorbital tissue edema, intact but enlarged inferior recti muscles, increased periorbital fat distribution
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1072&req=5

MPX1072_synpic34897: Noncontrast axial CT image through the orbits. Soft tissue windows reveal bilateral proptosis, periorbital tissue edema, intact but enlarged inferior recti muscles, increased periorbital fat distribution

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Grave's Ophthalmopathy

History: 45 year-old man with a past history of malignant testicular neoplasm and Hashimoto’s thyroiditis, presents now with a several-month history of worsening eye swelling, dryness, and irritation, gradually progressing to lid retraction and intermittent blurry vision, prompting a referral to ophthalmology. He denies recent trauma, fever, chills, nausea, headaches.

Findings: • Bilateral proptosis and periorbital tissue edema • Enlarged inferior recti muscles • Increased periorbital fat distribution • Bellies of medial recti enlarged with normal tapering of tendons. • Enlarged superior, medial, inferior rectus muscles

Ddx: • Periorbital / Orbital Cellulitis • Histiocytosis • Orbital Myositis / Orbital Pseudotumor • Grave’s Orbitopathy • Lymphoma

Dxhow: Clinical findings and CT images

Exam: PE: Bilateral proptosis, mild periorbital edema, sclera clear, PERRLA, EOMI, no discharge

No MeSH data available.