These deposits showed staining with Alcian blue consistent with a diagnosis of myxedema [ Figure 6 ]. The scalp hair and eyebrows showed no thinning. Language Information All providers are assumed to speak English. The toes, thighs, upper extremities, and face can rarely be involved. Beginning of dialog content. Although pretibial myxedema generally appears as indurated plaques on the shins, it has also been rarely reported in other areas such as the face, shoulders, arms, and abdomen. Abstract Localized myxedema is most commonly described in patients with hyperthyroidism, especially Graves’ disease.
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Some clinic staff members are fluent in other languages as well. A year-old female presented with asymptomatic thickened and yellowish lesions on the outer aspect of both the forearms for 10 years. If a provider has another language listed it means the provider speaks the language s listed.
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Book Appointment Call Since then, the patient continued to take thyroxine without further monitoring of her thyroid status. Examination revealed ill-defined yellowish plaques on the extensors of both the forearms.
Conflicts of interest There are no conflicts of interest. The information is provided when they join the health plan and every three years thereafter. All providers are assumed to speak English. J Clin Endocrinol Metab. The patient understands that names and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.
Information listed in this directory is not guaranteed and may be subject to change without notice. Am J Clin Dermatol. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms.
In scleromyxedema, there is diffuse thickening of skin with erythema along with generalized eruption of papules as in lichen myxedematosus, and histopathologically, similar to nme myxedematosus with more extensive proliferation of fibroblasts.
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In myxedema, anti-TSH receptor antibodies stimulate the TSH receptors in dermal fibroblasts to produce mucin and cause cutaneous lesions.
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Years in Practice Not Provided. Lichen myxedematosus is characterized by eruption of asymptomatic soft papules which occur in groups, most commonly on face and arms and histopathologically differentiated from localized myxedema by circumscribed mucin deposits with increase in fibroblasts and collagen.
Locations Information Medical Group Affiliation If a provider has a clinic or group listed it means they are a part of that medical group which includes two or more providers. In the form, the patient has given her consent for her images and other clinical information to be reported in the journal. A skin biopsy showed no significant changes in epidermis. Some providers are fluent in other languages as well. Abstract Localized myxedema is most commonly described in patients with hyperthyroidism, especially Graves’ disease.
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We could not find any other case report of exogenous thyroxine-induced preradial myxedema even after doing a thorough literature search. Our nsme presented with thickened plaques on the outer aspect of the upper limbs with sparing of the lower limbs suggestive of preradial myxedema. A provider MD, DO, DPM obtains board certification after completing residency training in their specialty, passes a certifying exam and meets all the requirements established by their specialty board.
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