A patient with a nodular thyroid swelling is suspected to have hypehyroidism. On examination there was absence of wrinkling on forehead when looking upwards with face inclined downwards. Which term denote this sign?: (A) Von Graefe's sign, (B) Joffrey's sign, (C) Stellwag's sign, (D) Moebius sign
Answer is B. Von Graefe's sign - upper eye lid lags behind the eyeball when the patient looks down. Stellwag's sign - Staring look with infrequent blinking of eyes and widening of palpebral fissure. Moebius sign - Inability to converge eyeball Joffroy's sign - Absence of wrinkling of forehead when the patient looks upwards with face inclined downwards. Ref: Das, 5th Edition, Page 291.