Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 9, 2012.
What's your diagnosis?
I'll post the correct answer in about three days!
It may be Horners syndrome, ...possible.
This is a typical facial appaerance in hypothyroidism. The most striking feature here is the blank expression, lacking sparkle. When suspecting hypothyroidism, also look for pallor, coarse / brittle / diminished hair (scalp, axillary and pubic) and coarse features (puffy lids). The signs are often subtle, so have a low threshold for measuring TSH.
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