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Postgraduate Medical Journal 2009;85:40-42; doi:10.1136/pgmj.2008.071704
© 2009 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.

CASE REPORT

Infiltrative ophthalmopathy and primary hypothyroidism: a rare clinical manifestation of a common disease

R Rajput1, A Dhingra1, K Kumar1, J Sen2

1 Department of Medicine, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India
2 Department of Radiodiagnosis, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India

Correspondence to:
Dr R Rajput, Department of Medicine, PGIMS, Rohtak-124001, Haryana, India; rajputrajmeena{at}hotmail.com

The association of infiltrative ophthalmopathy with primary hypothyroidism is uncommon. We describe two such cases manifesting at different times during the course of primary hypothyroidism. The successful outcome of the present cases suggests that the timely addition of levothyroxine treatment alone or in combination with steroids is useful and effective in the management of hypothyroid Graves’ ophthalmopathy.

Keywords: primary hypothyroidism; thyroid ophthalmopathy


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