Thyroid dermopathy is an uncommon manifestation of autoimmune thyroid disease. About 0.5%-4.3% of patients with history of thyrotoxicosis and 15% of patients with severe Graves' ophthalmopathy have this cutaneous manifestation. However thyroid dermopathy is almost always associated with ophthalmopathy (96%) and sign and symptoms of hyperth-yroidism. The diagnosis of thyroid dermopathy is based ...

Graves' disease is an autoimmune disorder, caused by thyroid-stimulating antibodies, which bind to and activate the thyrotropin receptor on thyroid cells, inducing the synthesis and release of thyroid hormones. It is a polygenic and multifactorial disease that develops as a result of complex interaction between genetic susceptibility and environmental and/or endogenous factors. Graves' disease ...

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 ...

A 68-year-old man presented with his left index finger swollen at the proximal interphalangeal joint (Picture 1A). He noticed palpitation, tremor and weight loss 3 months previously. At presentation, atrial fibrillation, pretibial myxedema, exophthalmos, diplopia on upgaze, but not fingernail clubbing were noted. Thyroid function tests were indicative of hyperthyroidism, leading to a diagnosis ...

To the Editor: Pretibial myxedema (PTM), a localized thyroid-associated dermopathy, is characterized by local thickening and remodeling of the skin − it is often associated with a group of autoimmune thyroid diseases (ATDs).[1] PTM is most frequently located across the lower legs, especially the pretibial areas or the dorsum of the foot. Rarely, the fingers and hands, elbows, arms, or face are ...

pretibial myxedema is an uncommon manifestation of graves' disease and because of its rarity, information regarding its natural course and its relationship with other manifestations of graves' disease is not sufficient. we reviewed 150 consecutive cases diagnosed as having pretibial myxedema in a twenty-year period in a tertiary care center. only one patient in this group did not have ophthalmo...

To cite: Ponnusamy D, Ramachandra Pai RP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202530 DESCRIPTION A 45-year-old African-American woman presented with a 2-month history of bulging eyes, neck swelling, increased appetite and oligomenorrhea. On examination, she had fine hand tremors and bilateral proptosis with lid lag. The thyroid gland was diffusely ...