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Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review
BACKGROUND: A case report of Hashimoto's thyroiditis-associated ophthalmopathy that masqueraded as double elevator palsy in 1 eye. CASE PRESENTATION: A 54-year-old woman presented to our strabismus clinic with diplopia for 1 year. She was diagnosed with double elevator palsy in the left eye. Th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500068/ https://www.ncbi.nlm.nih.gov/pubmed/28658146 http://dx.doi.org/10.1097/MD.0000000000007330 |
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author | Ju, Chengqun Zhang, Linna |
author_facet | Ju, Chengqun Zhang, Linna |
author_sort | Ju, Chengqun |
collection | PubMed |
description | BACKGROUND: A case report of Hashimoto's thyroiditis-associated ophthalmopathy that masqueraded as double elevator palsy in 1 eye. CASE PRESENTATION: A 54-year-old woman presented to our strabismus clinic with diplopia for 1 year. She was diagnosed with double elevator palsy in the left eye. The forced duction test yielded positive findings for the inferior rectus of the left eye; hence, computed tomography of the orbit and thyroid-associated blood tests were performed; surprisingly, the thyroid function test results were consistent with hypothyroidism and the antibody results such as antithyroglobulin and antithyroid peroxidase were markedly elevated, and the patient was diagnosed with Hashimoto's thyroiditis and treated with corticosteroids. Unfortunately, her diplopia was not relieved with medical management. Subsequently, a 9-mm left inferior rectus recession was performed. CONCLUSION: Clinicians should be aware of the atypical signs of Hashimoto's thyroiditis for its proper diagnosis and management. |
format | Online Article Text |
id | pubmed-5500068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-55000682017-07-17 Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review Ju, Chengqun Zhang, Linna Medicine (Baltimore) 5800 BACKGROUND: A case report of Hashimoto's thyroiditis-associated ophthalmopathy that masqueraded as double elevator palsy in 1 eye. CASE PRESENTATION: A 54-year-old woman presented to our strabismus clinic with diplopia for 1 year. She was diagnosed with double elevator palsy in the left eye. The forced duction test yielded positive findings for the inferior rectus of the left eye; hence, computed tomography of the orbit and thyroid-associated blood tests were performed; surprisingly, the thyroid function test results were consistent with hypothyroidism and the antibody results such as antithyroglobulin and antithyroid peroxidase were markedly elevated, and the patient was diagnosed with Hashimoto's thyroiditis and treated with corticosteroids. Unfortunately, her diplopia was not relieved with medical management. Subsequently, a 9-mm left inferior rectus recession was performed. CONCLUSION: Clinicians should be aware of the atypical signs of Hashimoto's thyroiditis for its proper diagnosis and management. Wolters Kluwer Health 2017-06-30 /pmc/articles/PMC5500068/ /pubmed/28658146 http://dx.doi.org/10.1097/MD.0000000000007330 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | 5800 Ju, Chengqun Zhang, Linna Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title | Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title_full | Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title_fullStr | Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title_full_unstemmed | Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title_short | Diplopia in a patient with Hashimoto's thyroiditis: A case report and literature review |
title_sort | diplopia in a patient with hashimoto's thyroiditis: a case report and literature review |
topic | 5800 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500068/ https://www.ncbi.nlm.nih.gov/pubmed/28658146 http://dx.doi.org/10.1097/MD.0000000000007330 |
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