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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 orbits. Enlarged superior recti.
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MPX1072_synpic34900: Noncontrast axial CT image through orbits. Enlarged superior recti.


Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

Noncontrast axial CT image through orbits. Enlarged superior recti.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1072_synpic34900: Noncontrast axial CT image through orbits. Enlarged superior recti.

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.