Abu Helwa Rashid S, Subeh Hiyam H, Katreddy Venkata, Ahmed Amir I
General Practice, Emirates Health Services, Sharjah, ARE.
Endocrinology, American Hospital Dubai, Dubai, ARE.
Cureus. 2024 Nov 12;16(11):e73527. doi: 10.7759/cureus.73527. eCollection 2024 Nov.
Grave's ophthalmopathy is a prevalent complication of Grave's disease. In this case report, we present a case of an 84-year-old female patient with no symptoms of hyperthyroidism except that of Grave's ophthalmopathy. The patient's thyroid profile was normal, and both thyroid receptor antibodies and thyroid-stimulating immunoglobulins were negative. MRI showed thickening of the medial and inferior recti muscles in both eyes. With the absence of masses on MRI, a diagnosis of Grave's ophthalmopathy was highly suspicious. Regular monitoring was done for a year, and the patient remained euthyroid with negative antibodies throughout. The patient was managed symptomatically with the addition of methylprednisolone. No surgical intervention was done.
格雷夫斯眼病是格雷夫斯病的一种常见并发症。在本病例报告中，我们介绍了一名84岁女性患者，除了格雷夫斯眼病外没有甲状腺功能亢进的症状。患者的甲状腺功能指标正常，甲状腺受体抗体和甲状腺刺激免疫球蛋白均为阴性。MRI显示双眼内直肌和下直肌增厚。由于MRI上没有肿块，格雷夫斯眼病的诊断高度可疑。进行了一年的定期监测，患者始终甲状腺功能正常且抗体阴性。患者接受了甲基强的松龙的对症治疗。未进行手术干预。
