A case of pretibial myxedema.
- Author:
Seok Hun HONG
;
Joo Hyeup LEE
;
Seong Jun SEO
;
Chang Kwun HONG
;
Byung In RO
- Publication Type:Original Article
- Keywords:
Pretibial myxedema;
Hyperthyroidism
- MeSH:
Adult;
Exophthalmos;
Glycosaminoglycans;
Humans;
Hyperthyroidism;
Injections, Intralesional;
Iodine;
Male;
Mucins;
Myxedema*;
Thyroidectomy;
Triamcinolone Acetonide
- From:Korean Journal of Dermatology
1992;30(2):239-243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pretibial myxedema, which consists of localized cutaneous accumulations of acid mucopolysaccharides, oceurs in a few patients with hyperthyroidi';m after its correction by surgery or radioactive iodine therapy. We report a case of pretibial myxedema with exophthalmos in a 36 year old male. He has suffered from hyperthyroidism with bilateral pretibial myxedema for a period of 4 years. He was treated with a subtotal thyroidectomy and excision of both pletibia lesions 1 year ago. The lesions recurred on t,he left pretibial area, as a 11 X 16cm sized, non pitting, non tender, swollen, brownish plaque. The histopathologic findings showed epidermal hyperkeratosis and a considerable arnount of mucin in the mid-dermis. We treat.ed him with intralesional injection of triamcinolone acetonide with marked improvement.
