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Friday, February 23 • 8:00am - 12:00pm
162 Elephantiasic Pretibial Myxedema, Chronic and Recalcitrant Thyroid Dermopathy

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Alisha Agrawal, BA, Anna Kim, MD, Erfon Ekhlassi, MD, Lucia Seminario-Vidal, MD, PhD

Patients afflicted with autoimmune thyroiditis, specifically Graves’ disease, can have extrathyroidal manifestations such as exophthalmos, thyroid dermopathy, and acropachy. Thyroid dermopathy usually presents as pretibial myxedema (PTM) due to its predilection for the pretibial area. PTM can also appear in the setting of hypothyroidism following therapy of Graves' disease. In severe forms of PTM, it can present as the elephantiasic form, which is notoriously resistant to conventional treatment. Due to the disease rarity, only a few case reports of elephantiasic PTM exist in the literature. Here we present a patient who was diagnosed with elephantiasic PTM based on the chronicity of the patient’s dermopathy and dramatic clinical presentation.


Alisha Agrawal, BA

Med II student, Morsani College of Medicine

Friday February 23, 2018 8:00am - 12:00pm