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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 coronal CT image through the orbits.  Normal optic nerve and lateral recti muscles.  Bilaterally, these extraocular muscles are enlarged superior, medial, inferior recti.
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MPX1072_synpic34901: Noncontrast coronal CT image through the orbits. Normal optic nerve and lateral recti muscles. Bilaterally, these extraocular muscles are enlarged superior, medial, inferior recti.


Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

Noncontrast coronal CT image through the orbits.  Normal optic nerve and lateral recti muscles.  Bilaterally, these extraocular muscles are enlarged superior, medial, inferior recti.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1072_synpic34901: Noncontrast coronal CT image through the orbits. Normal optic nerve and lateral recti muscles. Bilaterally, these extraocular muscles are enlarged superior, medial, inferior 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.