Abstract
Pretibial myxoedema is a well recognized complication of Graves disease and occurs in approximately 5% of patients [8]. Many forms of treatment have been proposed, ranging from topical steroids under occlusive dressings [12] to plasmapheresis [7], but none has been universally successful. A simple shave excision without skin grafting was performed on a severe case of pretibial myxoedema and a good cosmetic result was achieved with no recurrence to date.
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References
Akasu F, Takazawa K, Akasu R, Onays T (1989) Localised myxoedema on the nasal dorsum in a patient with Graves' disease: report of a case. J Endocrinol Invest 12:717–721
Benoit FL, Greenspan FS (1966) Corticoid therapy for pre-tibial myxoedema, observation on the long acting thyroid stimulator. Ann Intern Med 4:711–720
Chan TC, Kow SCS, Huang KM (1992) Octreotide and Graves ophthamology and pre-tibial myxoedema. BMJ 304:158
Cheung HS, Nickoloff JT, Kamiel MB et al (1978) Stimulation of fibroblast biosynthetic activity by serum of patients with pre-tibial myxoedema. J Invest Dermatol 71:12
Cohen BD, Benua RS, Rawson RW (1963) Localised myxoedema involving the upper extremities. Arch Intern Med 111:153
Curtis AC, Cawley EP, Johnwick EB (1949) Association of progressive (malignant) exophthalmos and localised myxoedema. Arch Dermatol Syphilol 60:318
Dandona P, Marshall NJ, Bidey SP, Nathan A, Havard CWH (1979) Successful treatment of exophthalmos and pre-tibial myxoedema with plasmapheresis. Br Med J 1:374–376
Gimlette T (1960) Pre-tibial myxoedema. Br Med J 2:348–351
Horiuch Y (1985) Pre-tibial myxoedema associated with chronic thyroiditis. Arch Dermatol 121:451
Kriss JP, Pleshakov V, Chien JR (1964) Isolation and identification of the long acting thyroid stimulator and its relation to hyperthyroidism and pretibial myxoedema. J Clin Endocrinol 24:1005
Kriss JP, Pleshakov V, Rosenblum, Sharp G (1967) Therapy with occlusive dressings of pre-tibial myxoedema with fluocinolone acetonide. J Clin Endocrinol Metab 27:595–604
Kucer KA, Luscombe HA, Kauh YC (1980) Pre-tibial myxoedema recurrence after skin grafting. Arch Dermatol 116:1076–1077
Lang PJ, Sisson JC, Lynch PJ (1975) Intralesional triamcinolone therapy for pre-tibial myxoedema. Arch Dermatol 111:197–202
Lynch PJ, Maize JC, Sisson JC (1973) Pre-tibial myxoedema associated with chronic thyroiditis. Arch Dermatol 107:107
Thomas JEP (1971) Euthyroidism, exophthalmos, acopachy and pre-tibial myxoedema. Cent Afr J Med 17:23
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Richards, A.M., Arnstein, P.M., Klassen, M.F. et al. A new method of treating pretibial myxoedema. Eur J Plast Surg 20, 150–151 (1997). https://doi.org/10.1007/BF01002050
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DOI: https://doi.org/10.1007/BF01002050