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Unilateral proptosis as the manifestation of euthyroid Graves orbitopathy: A case report
Simran Rauniyar1, Milan Pokhrel1, Sonam Dhenga1
1Maharajgunj Medical Campus, Tribhuvan University, Institute of Medicine, Kathmandu, Nepal.
Rationale:
To report a case of Euthyroid Graves' disease with Unilateral eye involvement and its diagnostic and management challenges.
Patient Concerns:
A 36-year-old female with left eye proptosis.
Diagnoses:
CECT and MRI reported the proptosis of the left eye with thickening of the left extraocular muscles without the involvement of the tendons, without a focal lesion, with mild hyperintensity and mild diffuse enhancement representing unilateral thyroid ophthalmopathy.
Interventions:
CECT and MRI for the diagnosis. IV methylprednisolone for the management.
Outcomes:
Complete resolution of symptoms by 6 months.
Learnings:
1) Although commonly hyperthyroid, patients with Graves' disease may be euthyroid. 2) Graves' orbitopathy can affect the unilateral eye. 3) Long-term follow-up and joint endocrine and ophthalmology teamwork required for effective management.
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