Friday, October 31, 2008

Happy Halloween

This woman presented asking for medication for anxiety. She just can't stop shaking. She keeps staring at you.

Challenge: What Halloween related word describes this disease?

Image shown under fair use.


Craig Chen said...

Happy Halloween

This is Graves’ disease with exophthalmos. Note the widened palpebral fissure, periorbital edema, proptosis, chemosis, and conjunctival injection. Graves’ disease, the most common cause of hyperthyroidism, is an autoimmune disorder resulting from thyrotropin (TSH) receptor antibodies which stimulate thyroid gland growth and thyroid hormone synthesis. Along with typical signs and symptoms of hyperthyroidism, Graves’ disease can also involve pretibial myxedema (raised, hyperpigmented, violaceous orange-peel texture papules overlying shins). Treatment is with a thionamide (methimazole or propylthiouracil), radioiodide ablation, or surgery.

Sources: UpToDate;

Anonymous said...

i think its pererbital edema it could be hashimotos thyriditis