Radiation therapy as part of the therapeutic regimen for extensive multilocular myxedema in a patient with exophthalmos, myxedema and osteoarthropathy syndrome: A case report
Identifieur interne : 001931 ( Main/Exploration ); précédent : 001930; suivant : 001932Radiation therapy as part of the therapeutic regimen for extensive multilocular myxedema in a patient with exophthalmos, myxedema and osteoarthropathy syndrome: A case report
Auteurs : Khaled Elsayad [Allemagne] ; Jan Kriz [Allemagne] ; Julia Bauch [Allemagne] ; Sergiu Scobioala [Allemagne] ; Uwe Haverkamp [Allemagne] ; Cord Sunderkötter [Allemagne] ; Hans Theodor Eich [Allemagne]Source :
- Oncology Letters [ 1792-1074 ] ; 2015.
Abstract
Exophthalmos, myxedema and osteoarthropathy (EMO) comprise the triad known as EMO syndrome, which is rarely observed in patients with autoimmune thyroid disease. The present study reports the case of a patient with EMO, including the response of this rare combination to radiotherapy. A 48-year-old patient with EMO syndrome presented to the Department of Radiation Oncology, University Hospital of Muenster, eight years prior to writing with therapy-resistant pretibial myxedema and hypertrophic osteoarthropathy of the metacarpal bones. The patient had been diagnosed with Graves' disease (GD) 26 years prior to presentation, which was treated by thyroidectomy and radioiodine therapy. Four years subsequent to the diagnosis of GD, the patient developed exophthalmos, which was treated using radiotherapy. An evident pretibial, foot and hand myxedema developed within the 10 years following the onset of orbitopathy. The skin lesions were treated using radiation therapy subsequent to the failure of multiple surgical procedures and medical treatments. Almost eight years subsequent to the administration of irradiation, no recurrence was observed on the lower right leg, nor was any recurrence on the lower left leg observed approximately four years subsequent to the completion of radiotherapy. However, an additional lesion on the left hand demonstrated slow progression following treatment with radiation therapy. The present study indicates that radiation therapy can be considered as adjuvant therapy for patients with refractory myxedema, to prevent or delay the recurrence of myxedema subsequent to surgical excision.
Url:
DOI: 10.3892/ol.2015.2990
PubMed: 26137080
PubMed Central: 4467320
Affiliations:
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D-48149</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author></analytic><series><title level="j">Oncology Letters</title><idno type="ISSN">1792-1074</idno><idno type="eISSN">1792-1082</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Exophthalmos, myxedema and osteoarthropathy (EMO) comprise the triad known as EMO syndrome, which is rarely observed in patients with autoimmune thyroid disease. The present study reports the case of a patient with EMO, including the response of this rare combination to radiotherapy. A 48-year-old patient with EMO syndrome presented to the Department of Radiation Oncology, University Hospital of Muenster, eight years prior to writing with therapy-resistant pretibial myxedema and hypertrophic osteoarthropathy of the metacarpal bones. The patient had been diagnosed with Graves' disease (GD) 26 years prior to presentation, which was treated by thyroidectomy and radioiodine therapy. Four years subsequent to the diagnosis of GD, the patient developed exophthalmos, which was treated using radiotherapy. An evident pretibial, foot and hand myxedema developed within the 10 years following the onset of orbitopathy. The skin lesions were treated using radiation therapy subsequent to the failure of multiple surgical procedures and medical treatments. Almost eight years subsequent to the administration of irradiation, no recurrence was observed on the lower right leg, nor was any recurrence on the lower left leg observed approximately four years subsequent to the completion of radiotherapy. However, an additional lesion on the left hand demonstrated slow progression following treatment with radiation therapy. The present study indicates that radiation therapy can be considered as adjuvant therapy for patients with refractory myxedema, to prevent or delay the recurrence of myxedema subsequent to surgical excision.</p></div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Münster</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Münster</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Elsayad, Khaled" sort="Elsayad, Khaled" uniqKey="Elsayad K" first="Khaled" last="Elsayad">Khaled Elsayad</name></region><name sortKey="Bauch, Julia" sort="Bauch, Julia" uniqKey="Bauch J" first="Julia" last="Bauch">Julia Bauch</name><name sortKey="Eich, Hans Theodor" sort="Eich, Hans Theodor" uniqKey="Eich H" first="Hans Theodor" last="Eich">Hans Theodor Eich</name><name sortKey="Haverkamp, Uwe" sort="Haverkamp, Uwe" uniqKey="Haverkamp U" first="Uwe" last="Haverkamp">Uwe Haverkamp</name><name sortKey="Kriz, Jan" sort="Kriz, Jan" uniqKey="Kriz J" first="Jan" last="Kriz">Jan Kriz</name><name sortKey="Scobioala, Sergiu" sort="Scobioala, Sergiu" uniqKey="Scobioala S" first="Sergiu" last="Scobioala">Sergiu Scobioala</name><name sortKey="Sunderkotter, Cord" sort="Sunderkotter, Cord" uniqKey="Sunderkotter C" first="Cord" last="Sunderkötter">Cord Sunderkötter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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