Exophthalmos: A Forgotten Clinical Sign of Cushing's Syndrome.
Case Rep Endocrinol 2013;
2013:205208. [PMID:
23555062 PMCID:
PMC3608263 DOI:
10.1155/2013/205208]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2013] [Accepted: 02/22/2013] [Indexed: 11/25/2022] Open
Abstract
Exophthalmos is typically associated with Graves' ophthalmopathy. Although originally described by Harvey Cushing, exophthalmos is an underappreciated sign of Cushing's syndrome. We present a case of a 38-year-old female who presented with severe bilateral proptosis and was subsequently diagnosed with Cushings disease. We discuss the possible mechanisms causing exophthalmos in patients with either endogenous or exogenous hypercortisolemia.
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