Idiopathic Orbital Myositis Associated with Graves' Disease
A 52-year-old man was referred to our clinic. One week before his visit, he had complained of left eye pain and double vision. His clinical features were exacerbated. Despite the acute onset, which is atypical of thyroid eye disease (TED), TED was suspected due to the patient's history of Grave...
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Veröffentlicht in: | Internal Medicine 2013, Vol.52(7), pp.787-790 |
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creator | Tachibana, Seigo Yokoi, Tadao Sato, Shinya Oda, Yumi Yanase, Toshihiko Yamashita, Hiroyuki |
description | A 52-year-old man was referred to our clinic. One week before his visit, he had complained of left eye pain and double vision. His clinical features were exacerbated. Despite the acute onset, which is atypical of thyroid eye disease (TED), TED was suspected due to the patient's history of Graves' disease (GD). After conducting clinical examinations and orbital magnetic resonance imaging, the patient was diagnosed with idiopathic orbital myositis (IOM), and intravenous glucocorticoid therapy was administered. After treatment, the patient's clinical manifestations dramatically improved. This is a rare case in that the history of GD made it difficult to differentiate IOM from TED. |
doi_str_mv | 10.2169/internalmedicine.52.9162 |
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One week before his visit, he had complained of left eye pain and double vision. His clinical features were exacerbated. Despite the acute onset, which is atypical of thyroid eye disease (TED), TED was suspected due to the patient's history of Graves' disease (GD). After conducting clinical examinations and orbital magnetic resonance imaging, the patient was diagnosed with idiopathic orbital myositis (IOM), and intravenous glucocorticoid therapy was administered. After treatment, the patient's clinical manifestations dramatically improved. This is a rare case in that the history of GD made it difficult to differentiate IOM from TED.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.52.9162</identifier><identifier>PMID: 23545676</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Diplopia - complications ; Diplopia - diagnosis ; Diplopia - drug therapy ; glucocorticoid therapy ; Glucocorticoids - administration & dosage ; Graves Disease - complications ; Graves Disease - diagnosis ; Graves Disease - drug therapy ; Graves' disease ; Humans ; idiopathic orbital myositis ; Male ; Middle Aged ; Orbital Myositis - complications ; Orbital Myositis - diagnosis ; Orbital Myositis - drug therapy ; thyroid eye disease</subject><ispartof>Internal Medicine, 2013, Vol.52(7), pp.787-790</ispartof><rights>2013 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-51d52fdd1801e5cc1c7cbad01529e2a930bd98567170b5e097d17fd0503e9fb3</citedby><cites>FETCH-LOGICAL-c526t-51d52fdd1801e5cc1c7cbad01529e2a930bd98567170b5e097d17fd0503e9fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23545676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tachibana, Seigo</creatorcontrib><creatorcontrib>Yokoi, Tadao</creatorcontrib><creatorcontrib>Sato, Shinya</creatorcontrib><creatorcontrib>Oda, Yumi</creatorcontrib><creatorcontrib>Yanase, Toshihiko</creatorcontrib><creatorcontrib>Yamashita, Hiroyuki</creatorcontrib><title>Idiopathic Orbital Myositis Associated with Graves' Disease</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 52-year-old man was referred to our clinic. One week before his visit, he had complained of left eye pain and double vision. His clinical features were exacerbated. Despite the acute onset, which is atypical of thyroid eye disease (TED), TED was suspected due to the patient's history of Graves' disease (GD). After conducting clinical examinations and orbital magnetic resonance imaging, the patient was diagnosed with idiopathic orbital myositis (IOM), and intravenous glucocorticoid therapy was administered. After treatment, the patient's clinical manifestations dramatically improved. This is a rare case in that the history of GD made it difficult to differentiate IOM from TED.</description><subject>Diplopia - complications</subject><subject>Diplopia - diagnosis</subject><subject>Diplopia - drug therapy</subject><subject>glucocorticoid therapy</subject><subject>Glucocorticoids - administration & dosage</subject><subject>Graves Disease - complications</subject><subject>Graves Disease - diagnosis</subject><subject>Graves Disease - drug therapy</subject><subject>Graves' disease</subject><subject>Humans</subject><subject>idiopathic orbital myositis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orbital Myositis - complications</subject><subject>Orbital Myositis - diagnosis</subject><subject>Orbital Myositis - drug therapy</subject><subject>thyroid eye disease</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE9PAjEQxRujEUS_gtmbXhb7Z7vdxhNBRRKUC_em285KybKLbdHw7V0CcjBeZg7vN-9NHkIJwUNKcvngmgi-0fUarDOugSGnQ0lyeob6hGUyFZTxc9THkhQp7UYPXYWwwpgVQtJL1OvkjOci76PHqXXtRselM8ncly7qOnnbtcFFF5JRCK1xOoJNvl1cJhOvvyDcJU8ugA5wjS4qXQe4Oe4BWrw8L8av6Ww-mY5Hs9RwmseUE8tpZS0pMAFuDDHClNpiwqkEqiXDpZVF9w4RuOSApbBEVBZzzEBWJRug-4PtxrefWwhRrV0wUNe6gXYbFGGU0c47yzq0OKDGtyF4qNTGu7X2O0Ww2jen_janOFX75rrT22PKtuzE0-FvVR3wfgBWIeoPOAHaR2dq-NdZ7Mcx4QSapfYKGvYDDnGL0g</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Tachibana, Seigo</creator><creator>Yokoi, Tadao</creator><creator>Sato, Shinya</creator><creator>Oda, Yumi</creator><creator>Yanase, Toshihiko</creator><creator>Yamashita, Hiroyuki</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Idiopathic Orbital Myositis Associated with Graves' Disease</title><author>Tachibana, Seigo ; Yokoi, Tadao ; Sato, Shinya ; Oda, Yumi ; Yanase, Toshihiko ; Yamashita, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-51d52fdd1801e5cc1c7cbad01529e2a930bd98567170b5e097d17fd0503e9fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Diplopia - complications</topic><topic>Diplopia - diagnosis</topic><topic>Diplopia - drug therapy</topic><topic>glucocorticoid therapy</topic><topic>Glucocorticoids - administration & dosage</topic><topic>Graves Disease - complications</topic><topic>Graves Disease - diagnosis</topic><topic>Graves Disease - drug therapy</topic><topic>Graves' disease</topic><topic>Humans</topic><topic>idiopathic orbital myositis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orbital Myositis - complications</topic><topic>Orbital Myositis - diagnosis</topic><topic>Orbital Myositis - drug therapy</topic><topic>thyroid eye disease</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tachibana, Seigo</creatorcontrib><creatorcontrib>Yokoi, Tadao</creatorcontrib><creatorcontrib>Sato, Shinya</creatorcontrib><creatorcontrib>Oda, Yumi</creatorcontrib><creatorcontrib>Yanase, Toshihiko</creatorcontrib><creatorcontrib>Yamashita, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tachibana, Seigo</au><au>Yokoi, Tadao</au><au>Sato, Shinya</au><au>Oda, Yumi</au><au>Yanase, Toshihiko</au><au>Yamashita, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic Orbital Myositis Associated with Graves' Disease</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>52</volume><issue>7</issue><spage>787</spage><epage>790</epage><pages>787-790</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 52-year-old man was referred to our clinic. One week before his visit, he had complained of left eye pain and double vision. His clinical features were exacerbated. Despite the acute onset, which is atypical of thyroid eye disease (TED), TED was suspected due to the patient's history of Graves' disease (GD). After conducting clinical examinations and orbital magnetic resonance imaging, the patient was diagnosed with idiopathic orbital myositis (IOM), and intravenous glucocorticoid therapy was administered. After treatment, the patient's clinical manifestations dramatically improved. This is a rare case in that the history of GD made it difficult to differentiate IOM from TED.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>23545676</pmid><doi>10.2169/internalmedicine.52.9162</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Diplopia - complications Diplopia - diagnosis Diplopia - drug therapy glucocorticoid therapy Glucocorticoids - administration & dosage Graves Disease - complications Graves Disease - diagnosis Graves Disease - drug therapy Graves' disease Humans idiopathic orbital myositis Male Middle Aged Orbital Myositis - complications Orbital Myositis - diagnosis Orbital Myositis - drug therapy thyroid eye disease |
title | Idiopathic Orbital Myositis Associated with Graves' Disease |
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