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Case Report
Bilateral exorbitism revealing thymic hyperplasia: Case report and review of the literature
1 Neuro Radiology Department, Ibn Sina Hospital, Mohamed V University, Rabat, Morocco
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Bellamlih Habib
Neuro Radiology Department , Ibn Sina Hospital , Mohamed V University
Morocco
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Article ID: 100951Z01BH2018
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Habib B, Othman A, Fikri M, Jiddane M, El Hassani MR. Bilateral exorbitism revealing thymic hyperplasia: A case report and review of the literature. Int J Case Rep Images 2018;9:100951Z01BH2018.ABSTRACT
Introduction: Graves’ thyroiditis is an autoimmune disease, commonly associated with other autoimmune disorders, such as myasthenia gravis, autoimmune gastritis, Type 1 diabetes, vitiligo, and Addison’s disease. There is a well-documented association between Graves’ disease and thymus hyperplasia. The knowledge of this association makes it possible to avoid a risky and unnecessary surgery of a thymus mass in patients with Graves’ disease.
Case Report: We report the case of a patient with bilateral exophthalmos. The biological and radiological assessment was in favor of a grave disease associated with thymus hyperplasia. A medical treatment was administered with a favorable evolution. There were no sign of malignancy in the follow up exam.
Conclusion: Knowledge of the association between Graves’ disease and thymus hyperplasia is necessary. For there is some authors that preconize thymus surgery in cases of resistant grave disease. The favorable evolution under medical treatment makes it possible to avoid unnecessary, even dangerous, thymus mass surgery in patients with Graves’ disease by proposing a simple radiological monitoring.
Keywords: Computed tomography, Exorbitism, Grave's disease, Thymic hyperplasia, Ultrasound
SUPPORTING INFORMATION
Author Contributions
Bellamlih Habib - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ayouche Othman - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Meriem Fikri - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammed Jiddane - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Moulay Rachid El Hassani - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this case report.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Bellamlih Habib et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
