Thyroid association ophthalmopathy in hashimoto

Ons  Maaoui; Nadia Khessairi; Elyes Kamoun; Fatma Chaker; Malika Chihaoui

doi:10.1530/endoabs.110.EP1569

EP1569

Prev Next

Section Contents Cite

Endocrine Abstracts (2025) 110 EP1569 | DOI: 10.1530/endoabs.110.EP1569

ECEESPE2025 ePoster Presentations Thyroid (198 abstracts)

Thyroid association ophthalmopathy in hashimoto’s thyroiditis: a case report

Ons Maaoui ¹ , Nadia Khessairi ¹ , Elyes Kamoun ¹ , Fatma Chaker ¹ & Malika Chihaoui ¹

Author affiliations

¹Rabta Hospital, Endocrinology Department, Tunis, Tunisia

JOINT2577

Introduction: Ophtalmopathy is common in hyperthyroid patients due to Graves’ disease. But in Hashimoto’s thyroiditis, thyroid associated ophthalmopathy is rarely reported and only few cases have been reported in the literature. Here we report a case of thyroid associated ophthalmopathy in a patient with Hashimoto’s thyroiditis.

Observation: A 40-year-old female patient was being followed for Hashimoto hypothyroidism with positive anti-thyroid peroxidase antibodies and thyroiditis on cervical ultrasound. Two years after the diagnosis, she presented with blurred vision, bilateral exophthalmos and spontaneous ocular pain. On examination, she had bilateral palpebral edema and conjunctival and palpebral redness. clinical activity score (CAS) was 4. CT scan showed bilateral oculomotor muscle infiltration in connection with dysthyroidism and anti-TSH receptor antibodies were negative. The patient was put on corticosteroids: prednisone 1 mg/kg/day with improvement in the signs of ophthalmopathy activity: disappearance of conjunctival and palpebral redness and pain; she gradually tapered off the corticosteroids.

Conculsion: This case highlights the rare association between ophthalmopathy and Hashimoto’s thyroiditis, emphasizing that thyroid-related orbitopathy is not exclusive to Graves’ disease.