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Restrictive extraocular myopathy: a presenting feature of acromegaly

STEVEN HEIREMAN UGent, Christophe Delaey, Ilse Claerhout UGent and CHRISTIAN DECOCK (2011) INDIAN JOURNAL OF OPHTHALMOLOGY. 59(6). p.517-519
abstract
A 45-year-old man presented with binocular diplopia in primary gaze for 1 year. Orthoptic evaluation showed 10-prism diopter right eye hypotropia and 6-prism diopter right eye esotropia. The elevation and abduction of the right eye were mechanically restricted. This was associated with systemic features suggestive of acromegaly. Magnetic resonance imaging (MRI) of the brain demonstrated a pituitary macroadenoma. An elevated serum insulin-like growth factor I level and the failure of growth hormone suppression aft er an oral glucose load biochemically confirmed the diagnosis of acromegaly. Computed tomography (CT) of the orbit demonstrated bilateral symmetrical enlargement of the medial rectus and inferior rectus muscle bellies. All tests regarding Graves-Basedow disease were negative. Although rare, diplopia due to a restrictive extraocular myopathy could be the presenting symptom of acromegaly.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
restrictive myopathy, MUSCLE ENLARGEMENT, pituitary adenoma, extraocular myopathy, Acromegaly, diplopia
journal title
INDIAN JOURNAL OF OPHTHALMOLOGY
Indian J. Ophthalmol.
volume
59
issue
6
pages
517 - 519
Web of Science type
Article
Web of Science id
000296230600024
JCR category
OPHTHALMOLOGY
JCR impact factor
1.019 (2011)
JCR rank
38/56 (2011)
JCR quartile
3 (2011)
ISSN
0301-4738
DOI
10.4103/0301-4738.86330
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2090572
handle
http://hdl.handle.net/1854/LU-2090572
date created
2012-04-18 15:30:12
date last changed
2016-12-19 15:39:15
@article{2090572,
  abstract     = {A 45-year-old man presented with binocular diplopia in primary gaze for 1 year. Orthoptic evaluation showed 10-prism diopter right eye hypotropia and 6-prism diopter right eye esotropia. The elevation and abduction of the right eye were mechanically restricted. This was associated with systemic features suggestive of acromegaly. Magnetic resonance imaging (MRI) of the brain demonstrated a pituitary macroadenoma. An elevated serum insulin-like growth factor I level and the failure of growth hormone suppression aft er an oral glucose load biochemically confirmed the diagnosis of acromegaly. Computed tomography (CT) of the orbit demonstrated bilateral symmetrical enlargement of the medial rectus and inferior rectus muscle bellies. All tests regarding Graves-Basedow disease were negative. Although rare, diplopia due to a restrictive extraocular myopathy could be the presenting symptom of acromegaly.},
  author       = {HEIREMAN, STEVEN and Delaey, Christophe and Claerhout, Ilse and DECOCK, CHRISTIAN},
  issn         = {0301-4738},
  journal      = {INDIAN JOURNAL OF OPHTHALMOLOGY},
  keyword      = {restrictive myopathy,MUSCLE ENLARGEMENT,pituitary adenoma,extraocular myopathy,Acromegaly,diplopia},
  language     = {eng},
  number       = {6},
  pages        = {517--519},
  title        = {Restrictive extraocular myopathy: a presenting feature of acromegaly},
  url          = {http://dx.doi.org/10.4103/0301-4738.86330},
  volume       = {59},
  year         = {2011},
}

Chicago
HEIREMAN, STEVEN, Christophe Delaey, Ilse Claerhout, and CHRISTIAN DECOCK. 2011. “Restrictive Extraocular Myopathy: a Presenting Feature of Acromegaly.” Indian Journal of Ophthalmology 59 (6): 517–519.
APA
HEIREMAN, S., Delaey, C., Claerhout, I., & DECOCK, C. (2011). Restrictive extraocular myopathy: a presenting feature of acromegaly. INDIAN JOURNAL OF OPHTHALMOLOGY, 59(6), 517–519.
Vancouver
1.
HEIREMAN S, Delaey C, Claerhout I, DECOCK C. Restrictive extraocular myopathy: a presenting feature of acromegaly. INDIAN JOURNAL OF OPHTHALMOLOGY. 2011;59(6):517–9.
MLA
HEIREMAN, STEVEN, Christophe Delaey, Ilse Claerhout, et al. “Restrictive Extraocular Myopathy: a Presenting Feature of Acromegaly.” INDIAN JOURNAL OF OPHTHALMOLOGY 59.6 (2011): 517–519. Print.