GRADES OF EXOPHTHALMOS AND THYROTROPIN-BINDING INHIBITORY IMMUNOGLOBULIN IN PATIENTS WITH MYASTHENIA-GRAVIS

Exophthalmos and thyrotropin-inhibitory immunoglobulin (TBII) were exa mined in myasthenia gravis (MG) patients with normal thyroid function. Exophthalmos was found in 7 of 31 (22.6%) MG patients, and TBII was d etected in 4 of 21 (19.0%) MG patients. The grades of exophthalmos did not decrease after extraocular muscle weakness was improved by treatm ent. Patients with MG whose diplopia was Tensilon unresponsive were on ly found among those with exophthalmos. TBII was more frequently detec ted in MG patients with exophthalmos than in those without. The presen t study revealed that exophthalmos is not rare in MG patients, even if they do not show any signs of Graves' disease other than exophthalmos and their thyroid functions are within the normal limit. The presence of TBII in MG patients may relate to the development of exophthalmos, and exophthalmos itself might enhance ocular symptoms of MG.