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
Hauptverfasser: Tachibana, Seigo, Yokoi, Tadao, Sato, Shinya, Oda, Yumi, Yanase, Toshihiko, Yamashita, Hiroyuki
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container_end_page 790
container_issue 7
container_start_page 787
container_title Internal Medicine
container_volume 52
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. 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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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