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Pretibial myxoedema without thyroid associated orbitopathy in a patient with Graves’ disease
  1. Sailesh Lodha1,
  2. Nimisha Jain2,
  3. Anil Bhansali2
  1. 1Department of Diabetes and Endocrinology, Eternal Hospital and Research Institute, Jaipur, India
  2. 2Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Anil Bhansali, Department of Endocrinology, Post Graduate Institute of Medical Education and Research, CH 160012, India; anilbhansaliendocrine{at}gmail.com

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Summary

A 35-year-old man, diagnosed with Graves’ disease 5 years ago, presented with recurrence of thyrotoxic symptoms and rapidly progressive non-pruritic skin lesions on legs (figure 1) for the last 6 months. He was intermittently on treatment with carbimazole. Examination was notable for grade III diffuse goitre (figure 2) and staring look. Extensive, symmetrical, nodular skin lesions were noted over both the shins suggestive of pretibial myxoedema. Investigations …

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