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Endocrine Ophthalmopathy: Current Ideas Concerning Etiology, Pathogenesis, and Treatment
Abstract
ALTHOUGH the association of exophthalmos with goiter was recognized as early as the twelfth century (1), the modern focus on the constellation of hyperthyroidism, diffuse goiter, and endocrine ophthalmopathy is best attributed to the work of Caleb Parry (1825) (2), Robert Graves (1835) (3), and Carl von Basedow (1840) (4). Since their early descriptions a plethora of reports have been published detailing the clinical and histologic features of endocrine ophthalmopathy and coining a variety of colorful synonyms and eponyms (5, 6). There remained, however, a number of important unanswered questions. These deal with the nature of the inciting factor, the pathogenesis of the disease, the unique and often asymmetric involvement of extraocular muscles, the relationship between the eye disease and the thyroid abnormality, and the most rational and efficacious methods of treatment. We will review the clinical, anatomic, histologic, and immunologic features of endocrine ophthalmopathy particularly as they apply to these issues.
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“More recent studies do not identify a clear sex-related risk for GO (517,518), while some older studies point to a possible slightly increased risk for men (519,520).”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [520]
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“More recent studies do not identify a clear sex-related risk for GO (517,518), while some older studies point to a possible slightly increased risk for men (519,520).”
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Age Influences the Severity of Graves' Ophthalmopathy
Lin, M., Hsu, F., Bee, Y., & Ger, L. (2008) · The Kaohsiung Journal of Medical Sciences · doi:10.1016/s1607-551x(08)70154-2 · Cited by 20
Mohaseb, K., Linder, M., Rootman, J., Wilkins, G. E., Schechter, M. T., Dolman, P. J., & Singer, J. (2008) · Orbit · doi:10.1080/01676830802414566 · Cited by 20
Metadata
- Authors
- JACOBSON, D. H., & GORMAN, C. A.
- Affiliations
- Mayo Clinic (US)
- Venue
- Endocrine Reviews
- Publisher
- The Endocrine Society
- Published
- 1984-04
- Volume
- 5
- Issue
- 2
- Pages
- 200-220
- ISSN
- 0163-769X (ISSN-L)
- 1945-7189
- OpenAlex
- W1965113827
- Cited by
- 211
- References
- 3
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2017: 1 · 2016: 4 · 2014: 3 · 2013: 2 · 2012: 4
- FWCI
- 10.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Ophthalmology › Ophthalmology and Eye Disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Clinical Neurology › Myasthenia Gravis and Thymoma
- Keywords
- Graves' ophthalmopathy, endocrine ophthalmopathy, hyperthyroidism, goiter, proptosis, pathogenesis, etiology, extraocular muscles, thyroid autoimmunity, treatment
- MeSH terms
- Adolescent, Adult, Aged, Autoimmune Diseases, Child, Graves Disease, Humans, Middle Aged, Oculomotor Muscles, Orbit, Thyroid Gland, Thyroidectomy, Tomography, X-Ray Computed, Ultrasonography
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