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- Plastic & reconstructive surgery
- basic sciences
- surgical dermatology
- diabetes & endocrinology
- thyroid disease
A 41-year-old man was referred to plastic surgery clinic for legs ‘lymphoedema’ and overgrown of right big toe. Fifteen years ago, he was diagnosed with Grave’s disease and was treated with thyroidectomy and subsequent thyroxine supplementation. Insidious onset of leg swelling occurred within years. At the time of presentation, he had exophthalmos with diplopia limited to downgaze (figure 1A), bilateral pretibial and right big toe localised soft tissue overgrown resembling elephantiasis with non-pitting oedema …
Contributors S-JW contributed to the design and implementation of the research, to the analysis of the results and to the writing of the manuscript. H-CC supervised the project and contributed to the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Consent obtained directly from patient(s).
Provenance and peer review Not commissioned; internally peer reviewed.
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