title: Thyroid disorders masquerading as aging changes.
abstract: Some (2.6%) patients seeking aesthetic blepharoplasty had undiagnosed hypothyroidism contributing to periorbital aging changes; 0.3% had undiagnosed hyperthyroidism. Characteristic features suggesting the possibility of hypothyroidism were edema, "festoons," and "secondary" bags. The characteristic features of hyperthyroidism were proptosis and edema. Treatment of the underlying medical condition reversed the changes to a variable extent. Aesthetic surgery was not necessary in some patients.
authors.affiliation: Johns Hopkins Medical Institutions, Baltimore, MD.
authors.forename: S A
authors.initials: SA
authors.lastname: Klatsky
authors.forename: P N
authors.initials: PN
authors.lastname: Manson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis* / Q000503:physiopathology; D007037:Hypothyroidism / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015361:Rhytidoplasty; D015595:Skin Aging