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Medicine Thyroid 8b1802d8

Proptosis not seen in?

A
Primary thyrotoxicosis
B
Sarcoidosis
C
Pituitary adenoma
D
Hypothyroidism
High-Yield Explanation
Ans. 'd' i.e. Hypothyroidism Eve involvement in Grove's disease (Graves ophthalmophathy)o The wide eyed stare and proptosis due to:-# Increased sympathetic tone# Infiltration of orbital soft tissue and extra ocular muscles with lymphocytes.# Mycopolysaccharides and edema fluids.Causes of proptosisa) Bilateral Proptosis1) Endocrine exophthalmos due to dysthyroid eye disease.2) Cavernous sinus thrombosis3) Metastatic neuroblastoma4) Orbital myositis (due to causes other than thyroid dysfunction).b) Unilateral Proptosis1) Haemangioma2) Dermoid cyst3) Lymphangioma4) Rhabdomyosarcomac) Transient Proptosis1) Arterio-venous malformations2) Orbital varices

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