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The name should be called hyperthyroidism, hyperthyroidism. Hyperthyroidism caused many etiologies, capable of causing exophthalmos hyperthyroid, generally refers to the diffuse goiter with hyperthyroidism, also called Graves disease, 甲状腺an autoimmune disease. Its clinical symptoms are: excessive secretion of thyroid hormone induced a series of symptoms, such as heat, palpitation, gluttony, emaciation, tremor, irritable mood; thyroid enlargement, commonly known as " a thick neck. " '.Exophthalmos hyperthyroid exophthalmos and relationship with hyperthyroidism: emergence time can be inconsistent. Only about 25% of patients two to appear at the same time, other patients exophthalmus杭州市哪家医院甲状腺疾病看的好 before thyrotoxicosis appear, time of 6 months or 4 years.
Patients with hyperthyroidism exophthalmos and lag behind, time 6 months or 4 years. Even with normal thyroid function in Graves ophthalmopathy, but such patients although the thyroid hormone level is not high, if the examination of the thyroid function of other indicators, such as excitatory or inhibitory test, the antibody detection, can still be found evidence of thyroid dysfunction. Exophthalmos classification: Graves patients, about 25%~ 50% with exophthalmos. According to the degree of exophthalmos lesions can be divided into simple ( dry, benign, non invasive ) and invasive ( edema, malignant exophthalmos two class ). Exophthalmos causes: simple exophthalmos is caused mainly by the sympathetic excitation, and the 杭州市哪里看甲状腺甲减病最好role of thyroid hormones lead to the extraocular muscles and levator muscle hypertonia. And infiltrative exophthalmos in addition to the above reasons, orbital soft tissue swelling, and muscle hyperplasia of palpable lesions make eye prominence, activity limitation. Patients often have a sense of intraocular foreign body, eye pain, photophobia,
lacrimation, diplopia, strabismus, visual field and visual acuity decreased, serious ocular fixation, corneal ulceration or whole eyeball inflammation, and even blindness.The performance of eye proptosis projecting forward, degree of exophthalmos is generally not more than 18mm. Blink ( blink ) reduction. Upper eyelid retraction, papebral fissure breadth, look straight ahead, on the edge of cornea exposed ( eyes above the dew the whites of the eyes ). Look down to see, with the upper eyelid cannot fall or drop behind the eyeball to eyeball. Look up, not wrinkled forehead skin杭州市哪家医院看甲状腺较好 ( no amount of grain ). His eyes to see near objects, eye ( not bad " for eyes .").Infiltrative exophthalmos is rare, mostly in adult patients. In addition to the above eye syndrome is more apparent, often accompanied by swelling of the eyelid, the conjunctiva hyperemia edema.
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