TY  - CHAP
M1  - Book, Section
TI  - PRETIBIAL MYXEDEMA
A1  - Clark, Shane
A1  - Dean, Steven M.
A2  - Dean, Steven M.
A2  - Satiani, Bhagwan
A2  - Abraham, William T.
PY  - 2015
T2  - Color Atlas and Synopsis of Vascular Diseases
AB  - A  63-year-old  woman  presents  for  evaluation  of  unsightly  erythematous-brown  plaques  on  her  anterior  shins.  The  lesions  appeared  approximately  6  months  ago  and  are  occasionally  itchy.  She  reports  that  she  has  delightfully  but  unintentionally  lost  30  lb  in  the  past  year  and  her  friends  tell  her  she  always  looks  "startled."  On  examination  her  skin  is  warm  and  flushed  and  her  palms  are  sweaty,  while  her  eyes  are  bulging  with  scleral  show  and  proptosis  of  the  upper  eyelid.  Examination  reveals  firm,  nonpitting  nodular  red-brown  plaques  on  her  anterior  shins  and  dorsal  feet.  She  is  diagnosed  with  hyperthyroidism  with  thyroid  dermopathy.  She  is  referred  to  endocrinology  for  further  evaluation  and  definitive  management  of  her  hyperthyroidism  and  treated  topically  with  daily  application  of  a  class  1  corticosteroid  under  occlusion;  her  skin  lesions  gradually  resolve.  Figures  69-1  and  69-2  show  typical  cases  of  pretibial  myxedema  (PTM),  which  is  classically  associated  with  Graves  disease  but  can  occur  with  other  thyroid  diseases.  
SN  - 
PB  - McGraw-Hill Medical
CY  - New York, NY
Y2  - 2024/04/24
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1105291976
ER  -