Graves' Ophthalmopathy

被引：219

作者：

Bartalena, Luigi ^{[1
]}

Tanda, Maria Laura ^{[1
]}

机构：

[1] Univ Insubria, Dept Clin Med, Div Endocrinol, Osped Circolo, I-21100 Varese, Italy

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2009年 / 360卷 / 10期

关键词：

THYROID-ASSOCIATED OPHTHALMOPATHY; METHYLPREDNISOLONE PULSE THERAPY; RANDOMIZED CONTROLLED-TRIAL; SINGLE-BLIND TRIAL; EUROPEAN GROUP; ORBITAL RADIOTHERAPY; RADIOIODINE THERAPY; CONSENSUS STATEMENT; ORBITOPATHY EUGOGO; CLINICAL-FEATURES;

D O I：

10.1056/NEJMcp0806317

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 40-year-old woman who recently received a diagnosis of Graves' disease comes for a follow-up visit. She has been taking methimazole, at a dose of 10 mg daily, and is now euthyroid, but for the past 3 months, she has had bothersome eye symptoms, including redness, tearing, grittiness, photophobia, diplopia at the extremes of gaze, and ocular pain with eye movements. She smokes 10 cigarettes per day. Examination reveals exophthalmos, swelling of periorbital tissues, and limitation of eye movements. How should Graves' ophthalmopathy be managed?

引用

页码：994 / 1001

页数：8

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