Bolaños F, Figueroa F, Castro E
Servicio de Endocrinología, Hospital de Especialidades, Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jal.
Rev Invest Clin. 1996 Nov-Dec;48(6):457-9.
To report a case of a patient who developed a Graves' ophthalmopathy class III two weeks after receiving radiotherapy in the neck.
He was a male of 51 years of age with a stage IIIB Hodgkin's disease who received chimio- and radio-therapy two weeks previous to the ophthalmopathy. The computed axial tomography showed retroorbital changes. The thyroid function tests, including the stimulation with thyrotropin releasing hormone and the microsomal and thyroglobulin antibodies were normal. The patient was treated with oral prednisone, followed by retroocular radiotherapy on the right eye. The exophthalmos improved and the diplopia disappeared.
报告1例患者在颈部接受放射治疗两周后发生Ⅲ级格雷夫斯眼病。
他是一名51岁男性,患有ⅢB期霍奇金病,在发生眼病前两周接受了化疗和放疗。计算机断层扫描显示眶后改变。甲状腺功能检查,包括促甲状腺素释放激素刺激试验以及微粒体和甲状腺球蛋白抗体检查均正常。患者接受口服泼尼松治疗,随后对右眼进行眼后放疗。眼球突出改善,复视消失。