Thyroid signs

Order of appearance of signs

1. Stellwags sign — Mild
First sign to appear

2. Von Graefes sign — Mild

3. Joffroys sign -Moderate

4. Moebius sign — Severe

Important signs to be remembered

Visible lower sclera- sign of exophthalmos

Naffziger's sign

VonGraefes sign—upper lid lag— contraction /overactivity of the involuntary part of the
levator palpebrae superioris muscle
Muller's muscle

Joffroy’s sign

Moebius sign— most important—early sign of ophthalmoplegia