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Contributor

Rebecca Kazin, MD

Diagnosis

acropachy, thyroid myxedema, pretibial Grave disease

Body Site

hand

Age

67 years

Pigmentation

light

Organization

Color

skin color

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 67-year-old man had a history of hypothyroidism for which he received L-thyroxine. Two years later he was diagnosed with ophthalmopathy from Grave disease. He was treated with propylthiouracil and prednisone. He subsequently developed pretibial myxedema and acropachy.

Description

acropachy with soft tissue swelling of digits, joint enlargement, and clubbing of fingers

Categories

cutaneous sign of systemic disease Metabolic disorders thyroid disease associated

Image Added

3/8/2003 17:41:04

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Other Resources

PubMed Medline Plus Medscape

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