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Thyroid management in Graves’ ophthalmopathy

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Abstract

There is a close temporal relationship between the occurrence of Graves’ thyroid disease (GTD) and the onset of Graves’ ophthalmopathy (Fig. 1).1 Both Gorman et al., and Wiersinga et al, found that in approximately 3/4 of the patients both manifestations occurred within 18 months of eachother.2,3 In the majority, the eye signs develop after the first signs of hyperthyroidism. Although clinically manifest ophthalmopathy is seen in only appr. 35% of the patients with Graves’ hyperthyroidism, subclinical evidence for orbital disease is present in almost all patients.1 This close association has always been the most pertinent reason to think that the ophthalmopathy and the thyroid disorder are actually two manifestations of the same condition: Graves’ disease.

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Prummel, M.F., Wiersinga, W.M., Marcocci, C., Weetman, A.P. (2000). Thyroid management in Graves’ ophthalmopathy. In: Prummel, M.F., Wiersinga, W.M., Mourits, M.P., Heufelder, A.E. (eds) Recent Developments in Graves’ Ophthalmopathy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4647-4_6

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  • DOI: https://doi.org/10.1007/978-1-4615-4647-4_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7102-1

  • Online ISBN: 978-1-4615-4647-4

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