A Case of Unilateral Exophthalmos Due To Thyroid Orbitopathy in A Clinically Euthyroid Patient

Adeel Ahmad Khan, Ahmad Radwan Mahmoud Muammar, Ijaz Kamal

Graves ophthalmopathy (GO) is the most common extra-thyroidal manifestation of Graves’ disease (GD). Most cases of GO are bilateral whereas unilateral ophthalmopathy is less common. We report a case of a 24-year-old male with right sided exophthalmos for 6 months. He did not have any other visual or thyroid related symptoms. Laboratory results revealed low TSH, normal free T3 and free T4, elevated serum creatinine (418 umol/L) and positive TSH receptor antibodies US KUB showed features of chronic kidney disease (CKD). MRI Head showed unilateral thyroid associated orbitopathy. GO is still the most common cause of unilateral exophthalmos. Association between CKD and unilateral GO in clinically euthyroid patient is rare.

https://doi.org/10.31871/WJRR.9.6.6