DOI: 10.36347/sjmcr.2019.v07i01.025

Pages: 85-87

A 52-year-old female presented with left eyelid swelling and redness. An orbital magnetic resonance imaging (MRI) showed a swollen left lacrimal gland. On laboratory examination, she was positive for thyroid autoantibodies. A diagnosis of idiopathic orbital inflammation with thyroid autoantibodies was made based on clinical symptoms, laboratory findings, and MRI findings. She was treated with oral prednisolone. On orbital MRI, lacrimal gland swelling improved to normal appearance after steroid treatment. Coexistent idiopathic orbital inflammation and thyroid-associated orbitopathy is extremely rare. This case highlights the importance for clinicians to be aware of a concomitant diagnosis of idiopathic orbital inflammation and thyroid-associated orbitopathy.