Elephantiasic Pretibial Myxedema: A Rare Manifestation in Graves’ Disease
Journal Title: Journal of Health Science and Medical Research (JHSMR) - Year 2019, Vol 37, Issue 2
Abstract
Elephantiasic pretibial myxedema is an extremely rare condition, affecting patients with thyroid disease. The clinical manifestation is difficult to diagnosis, and the treatment is challenging. Herein, the authors report on a case of a patient with Graves’ disease, who had a long-standing enlargement of bilateral legs, and histopathologic studies confirmed the diagnosis as; pretibial myxedema. The patient was treated with an antithyroid drug, iodine-131 (131I) irradiation, a potent topical corticosteroid, with occlusion, and compression therapy, however, the patient’s skin condition remained unchanged. This report aims to demonstrate a rare form of pretibial myxedema, to review the clinical presentations, differential diagnosis as well as therapeutic options.
Authors and Affiliations
Apichat Kaewdech, Kumpol Aiempanakit, Siripan Sangmala, Kanokphorn Chiratikarnwong, Sauvarat Auepemkiate, Josef Symon S. Concha
Keywords
Related Articles
- EP ID EP678184
- DOI http://dx.doi.org/10.31584/jhsmr.201942
- Views 197
- Downloads 0
P-cadherin and CD10 Expression to Distinguish between Ductal Carcinoma in Situ and Invasive Ductal Carcinoma of the Breast
Objective: To use placental cadherin (P-cadherin) and cluster of differentiation 10 (CD10) immunohisto chemical staining, to separate ductal carcinoma in situ (DCIS) from invasive ductal carcinoma (IDC). Material and Me...
Comparison of Perceived Quality of Life Between Children with Lupus Nephritis and Their Parents
Objective: The purpose of this study was to compare the score of quality of life between parents and children with lupus nephritis. Material and Methods: A cross-sectional study was conducted from February to March 2017...
Caring for Thai Traumatic Brain Injury Survivors in a Transitional Period: What Are the Barriers?
Objective: We aimed to explore the situations and experiences of Thai traumatic brain injury (TBI) caregivers and nurses who care for TBI patients during their transition from hospital to home. Material and Methods: A d...
Outpatient and Caregiver Understanding of Auxiliary Instructions on Medication Labels at Ongkharak Hospital, Nakhon Nayok
Objective: To investigate the understanding of common auxiliary instructions among outpatients and caregivers at Ongkharak Hospital, Nakhon Nayok, Thailand. Material and Methods: This cross-sectional descriptive study w...
Geographic Distribution of Households with Goats and Women’s Adverse Pregnancy Outcomes and Perceptions of Healthcare Providers Toward Risk of Exposure to Goats or Their Raw Products in Pregnant Women
Objective: To identify the geographic distribution of households with goats and rates of adverse pregnancy outcomes in women, and assess healthcare providers’ perceptions towards risk of adverse pregnancy outcomes relate...