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Severe Graves' ophthalmopathy in pregnancy
Irene P Stafford1, Gary A Dildy, Joseph M Miller
1Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center; New Orleans, Louisiana 70112, USA. petrouia@yahoo.com
Background:
Thyroid ophthalmopathy is a rare extrathyroidal complication most commonly associated with Graves' disease. The disease course ranges from mild to severe, with severe cases resulting in major visual impairment and facial disfigurement.
Case:
A 22-year-old primigravida developed severe thyroid ophthalmopathy during pregnancy, requiring high-dose steroids and surgical orbital wall decompression to restore visual acuity.
Conclusion:
Severe thyroid ophthalmopathy can occur in the euthyroid pregnant patient. Corticosteroid therapy and surgical intervention may be required during pregnancy in this clinical scenario.
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