This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (16)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

WILLIAM H. BEIERWALTES, M.D.

Arch Intern Med. 1948;81(3):364-368.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE GREAT majority of patients with thyrotoxicosis and exophthalmos appear to have recession of the exophthalmos after a satisfactory subtotal thyroidectomy. However, careful observation of the eyes of these patients with exophthalmometer measurements made before and after thyroidectomy¹ reveals that this appearance is misleading. Actually the protrusion of the eyeballs increases after thyroidectomy in 75^1a to 97 per cent^1b of the patients, but the disappearance of retraction of the lids and of associated eye signs gives the erroneous impression that the exophthalmos has been relieved.

It has been observed by Soley^1a that progression of exophthalmos in patients with thyrotoxicosis was followed by intensification of the exophthalmos in 37 per cent fewer cases after roentgen therapy than after thyroidectomy. This decreased incidence was thought to be due to a slower return of the endocrine imbalance, present in thyrotoxicosis, to the normal balanced state. Since patients with . . . [Full Text PDF of this Article]

Author Affiliations
ANN ARBOR, MICH.

From the Department of Internal Medicine, University of Michigan.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?