Graves' disease is an autoimmune disorder of the thyroid gland with characteristic peripheral manifestations. The most common clinical findings include ophthalmopathy in 30% of patients, dermopathy (pretibial myxedema) in 4% of patients, and thyroid acropachy in 1% of patients. The triad of exophthalmos, pretibial myxedema, and acropachy occurs in less than 1% of patients. We present a case of ...

Periodic paralysis, idiopathic atrial fibrillation, acropachy, manic depressive illness, skeletal manifestations, pernicious anaemia and pre-tibial myxoedema have all been separately reported in association with thyrotoxicosis. It is very unusual to encounter a patient with many of the complications. In Singapore thyrotoxic periodic paralysis is relatively common (6.0% of all thyrotoxics) while...

Exophthalmos, myxedema, and acropachy are collectively named Exophthalmos myxedema acropachy (EMA) syn-drome, which is a rare syndrome associated with hypertcardiotrophia. Among patients with hyperthyreosis, EMA has an incidence less than 1%. Here, we reported a case of EMA and explored its diagnosis and treatment.

including calcium and phosphorus were normal. Growth hormone, PTH, and his lipid profile were within normal range. Thyroid hormone profile showed FT3-2.44 pg/ml, TSH (Third generation) was 14uIU/ml. Anti-TPO antibodies were >1000 IU/ml, ANA and rheumatoid factor were negative. Old healed tubercular lesions were evident in the chest X-ray, high resolution and contrast enhanced CT scan of the tho...

exophthalmos, myxedema, and acropachy are collectively named exophthalmos myxedema acropachy (ema) syn-drome, which is a rare syndrome associated with hypertcardiotrophia. among patients with hyperthyreosis, ema has an incidence less than 1%. here, we reported a case of ema and explored its diagnosis and treatment.

Over a 5-year period, three cases of thyrotoxic pretibial myxoedema were encountered. The incidence of pretibial myxoedema in Chinese thyrotoxic patients in Singapore was 0-7yo (03y. in females and 1F6% in males). One of the three patients also had thyroid acropachy. The incidence of thyrotoxic pretibial myxoedema in Singapore is compared with that in the literature and the aetiology briefly re...