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Updated: Apr 24, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Orbital pathology, not always caused by endocrine factors]
Pascale Hösli1,2,3, Marino Quarella Quarella4, Raphael Jeker5
1Klinik für allgemeine Innere Medizin, Spital Oberengadin, Samedan.
Introduction:
Not all cases of Exophthalmos are related to Graves' disease. Normal thyroid function test results should prompt extended differential diagnostics. IgG4-related disease (IgG4-RD) mimics various inflammatory, infectious, or neoplastic conditions. Diagnosis requires integration of clinical, laboratory, imaging, and histopathological findings. Early glucocorticoid therapy can reduce organ involvement and improve patient outcomes.
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