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A VERY SEVERE DERMOPATHY AND OPHTHALMOPATHYIN PATIENTS WITH AUTOIMMUNE THYROID DISEASE: CASE REPORT AND LİTERATÜRE REVIEW

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Although ophthalmopathy (most commonly) and dermopathy (uncommon) are the extrathyr-oidal manİfestations of Graves' disease, they are extremely rare in Hashimoto's thyroiditis. We present a case of Hashimoto's hypothyroidism with ophthalmopathy and dermopathy (the elephantiasic form of pretibial myxedema) in a 46-year-oİd man. He was diagnosed as having Hashimoto's hypothyroidism with decreased thyroİd hormone levels and elevated TSH, anti-thyroid peroxİdase and antithyroglobulin anübodies levels, and on palpation the thyroid gland was typİcal for Hashimoto's thyroiditis. The patient had infiltrative ophthalmopathy and eleph-antiatic form of pretibial myxedema. Thyroid ultrasound revealed that the parenchyma was heterogenous. Urinary glycosaminoglycans level was increased. Orbital CT scanning showed that extraocular muscles were thickened indicating the infiltrative opthalmopathy. This case demonstrates the uncommon extrathyroidal manifestation (a very severe dermopathy and ophthalmopathy) of autoimmune thyroid disease.
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  • 2
109-112
  • English

REFERENCES

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