Thyroid Associated Ophthalomopathy in a Patient with Hashimoto's Thyroiditis.
10.11106/ijt.2016.9.2.200
- Author:
Ho Jun LEE
1
;
Yeo Joo KIM
;
Suk Hoe KWEON
;
Ah Jeong RYU
Author Information
1. Department of Endocrinology, Soonchunhyang University College of Medicine, Cheonan, Korea. yeojoo@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Ophthalmopathy;
Hashimoto's thyroiditis;
Hypothyroidism;
Hyperthyroidism;
Steroid
- MeSH:
Diplopia;
Eyelids;
Humans;
Hyperthyroidism;
Hypothyroidism;
Middle Aged;
Muscles;
Orbit;
Thyroid Gland*;
Thyroiditis*;
Thyroxine;
Tomography, X-Ray Computed
- From:International Journal of Thyroidology
2016;9(2):200-203
- CountryRepublic of Korea
- Language:English
-
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.
