Lacrimal gland enlargement as an early clinical or radiologi
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Thyroid Orbitopathy (TO) is the most common cause of proptosis and orbital inflammation in adults. Characteristic ophthalmic signs include exophthalmos, eyelid retraction, eyelid edema, restrictive extraocular myopathy, and optic neuropathy associated with thyroid dysfunction. Clinical signs of TO can sometimes precede any laboratory evidence of thyroid dysfunction.The lacrimal gland (LG) can be affected in TO, though not commonly discussed. We present a case of TO where unilateral LG enlargement was the predominate early clinical sign.

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