2024-03-28T23:44:57Z
https://soar-ir.repo.nii.ac.jp/oai
oai:soar-ir.repo.nii.ac.jp:00004316
2023-02-24T01:07:36Z
461:463:464:542
ステロイド大量投与が有効であった右下直筋腫大による右眼上転障害の1例
A Case of Inferior Rectal Muscle Swelling and Limited Right Eye Elevation Treated with Intensive Steroid Therap
林田, 研介
露﨑, 淳
武井, 洋一
森田, 洋
池田, 修一
diplopia
inferior rectal muscle swelling
euthyroid Graves' ophthalmopathy
pulse therapy of methylprednisolone
複視
下直筋麻痺
euthyroid Graves' ophthalmopathy
メチルプレドニゾロンパルス療法
A 47-year-old woman had suffered from diplopia with upward gaze for two months.Restriction of right eyeball elevation had been identified by a local ophthalmologist and was treated with oral administration of prednisolone. Since her diplopia did not improve, however, she visited our hospital. Laboratory data showed no evidence of inflammation or thyroid dysfunction.Orbital MRI showed right inferior rectal muscle swelling with enhancement after gadolinium administration.The patient was admitted to our hospital and treated with methylprednisolone pulse therapy three times weekly as well as with oral administration of dexamethasone. Four weeks after beginning treatment, her diplopia had improved and the right inferior rectal muscle had returned to normal size. The cause of the muscle swelling was not clear, but the possibility of euthyroid Graves’ophthalmopathy cannot be ruled out. Our experience suggests that even if the thyroid autoantibody is negative,the possibility of euthyroid Graves’ophthalmopathy remains,so that sufficient steroid administration is worth trying.
Article
信州医学雑誌 50(3):121-123(2002)
journal article
信州医学会
2002-06
application/pdf
信州医学雑誌
3
50
121
123
0037-3826
AN00120815
https://soar-ir.repo.nii.ac.jp/record/4316/files/Shinshu_Med50-3-03.pdf
jpn