Thyroid Associated Ophthalmopathy with Ocular Myasthenia in Primary Hypothyroidism

  • Deep Dutta Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India
  • Soumik Goswami Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India
  • Indira Maisnam Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India
  • Dibakar Biswas Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India
  • Satinath Mukhopadhyay Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India
  • Subhankar Chowdhury Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research (IPGMER) and Seth Sukhlal Karnani Memorial (SSKM) Hospital, Kolkata, India

Abstract

A 62-year-female presented with bilateral proptosis and 1 year episodic eye pain, grittiness, redness, watering and intermittent diplopia for 6 months, and drooping of right eye lid for 2 months (Figure 1). She had a firm WHO grade-1b goiter, exopthalmos (26 mm and 23 mm  in left and right eye respectively, Hertel exopthalmometer), clinical activity score of 1/6, without any evidence of bulbar, neck muscles and limb weakness.

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References

Eckstein AK, Lösch C, Glowacka D, Schott M, Mann K, Esser J, Morgenthaler NG. Euthyroid and primarily hypothyroid patients develop milder and significantly more asymmetrical Graves’ ophthalmopathy. Br J Ophthalmol.2009;93:1052-6.

Drachman D. Myasthenia gravis and other diseases of neuromuscular junction. In: Fauci A, Braunwald E, Kasper D, Hauser L. Harrison’s Principles of Internal Medicine. 17th Edition Volume-2, McGraw Hill. 2008; 2675.

Zouvelou V, Potagas C, Karandreas N, Rentzos M, Papadopoulou M, Zis VP, Vassilopoulos D. Concurrent presentation of ocular myasthenia and euthyroid Graves ophthalmopathy: A diagnostic challenge. J Clin Neurosci. 2008;15:719-20.

Published
2014-05-31
How to Cite
Dutta, D., Goswami, S., Maisnam, I., Biswas, D., Mukhopadhyay, S., & Chowdhury, S. (2014). Thyroid Associated Ophthalmopathy with Ocular Myasthenia in Primary Hypothyroidism. Journal of the ASEAN Federation of Endocrine Societies, 29(1), 90. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/122
Section
Images in Endocrinology