Myxedema, Pretibial, Acropachy, Thyroid, Grave Disease - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

myxedema, pretibial acropachy, thyroid Grave disease

Body Site

hand finger

Age

52 years

Pigmentation

dark

Organization

confluent

Color

brown

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 52-year-old woman with a 5 year history of goiter and Grave disease developed progressive nontender thickening with exuberant folding of the skin on the shins and tops of the feet. She also had nontender subcutaneous nodules on her upper legs, hands, and arms, diffuse thickening of the soft tissue of the hands and fingers and thickening of the soft tissue of the orbits with bilateral proptosis. The nodules showed myxedema, and the diffuse thickening of the hands and feet were consistent with thyroid acropachy.

Description

thickening of the skin, soft tissues and bone, 5 cm nodule on hand with overlying hyperpigmentation

Image Added

2/9/2003 17:19:27

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Other Resources

PubMed Medline Plus Medscape

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