Carlesimo S C, Abdolrahimzadeh S, Di Santo L, Mazzeo F
Dipartimento di Scienze Oftalmologiche, I Facoltà di Medicina e Chirurgia, Sapienza Università di Roma, Italia.
Clin Ter. 2012 Nov;163(6):e397-400.
The aim of our study was to highlight the palpebral and ocular signs in patients with thyroid dysfunction. These patients are sometimes poorly evaluated in routine check ups. This information is useful both to the practicing ophthalmologist but also to the specialist in endocrinology.
100 patients were enrolled. The patients had been diagnosed with the Basedow-Graves-Flajani syndrome or had hypothyroidism or thyroidits. Orbital, adnexal and ocular signs were recorded in all patients.
Seventeen oculopalpebral signs were observed in a total of 100 patients (73 females and 27 males). These were as follows: Dalrymple, Von Graefe, Rosenbach, Inglese, Gifford, Enroth, Jellinek, Stellwag, Jeffroy, Topolansky, Moebius, Suker, Sattler, Sainton, Ballet, Cowens, Exphothalmos.
The specialist in endocrinology has many laboratory and clinical tools in the diagnosis of patients with thyroid dysfunction. However, with a better awareness of the oculopalpebral signs both the ophthalmologist and the endocrinologist can work together in a multidisciplinary team towards the management of these patients.
我们研究的目的是突出甲状腺功能障碍患者的眼睑和眼部体征。这些患者在常规检查中有时评估不足。该信息对眼科执业医生以及内分泌专科医生均有用。
招募了100名患者。这些患者已被诊断患有巴塞多-格雷夫斯-弗拉亚尼综合征、甲状腺功能减退症或甲状腺炎。记录了所有患者的眼眶、附属器和眼部体征。
在总共100名患者（73名女性和27名男性）中观察到17种眼睑体征。如下所示：达尔林普尔征、冯·格雷费征、罗森巴赫征、英格利斯征、吉福德征、恩罗思征、耶利内克征、施特尔瓦格征、杰弗罗伊征、托波兰斯基征、默比乌斯征、苏克征、萨特勒征、桑通征、巴莱征、考恩斯征、眼球突出。
内分泌专科医生在诊断甲状腺功能障碍患者时有许多实验室和临床工具。然而，通过更好地了解眼睑体征，眼科医生和内分泌医生可以在多学科团队中共同努力管理这些患者。
