Endocrine Abstracts

We report the case of a 41-year-old lady who developed severe thyroid eye disease on a background of long standing hypothyroidism. She had been diagnosed with autoimmune hypothyroidism 15 years previously with positive TPO antibodies. She had been successfully maintained on levothyroxine replacement since then. She presented with a four year history of progressive eye swelling, gritty eyes and diplopia. On examination she was found to have active thyroid eye disease with restr...