Pretibial Myxedema Associated with Euthyroid Hashimoto’s Thyroiditis: A Case Report

Pretibial myxedema (PM) is an infiltrative dermopathy which is seen in grave’s disease. It is also associated with hypothyroidism, but is infrequently seen in Hashimoto’s thyroiditis. Lesions are seen commonly over pretibial region as non-pitting oedema or with a plaque morphology. Heat shock prot...

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Bibliographic Details
Main Authors: Pragya A Nair, Ajay Mishra, Arvind Chaudhary
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/4415/6581_CE(Ra)_E(C)_F(P)_PF1(PAK)_PFA(NC_AK)_PF2(AGAK)_PF2(PN).pdf
Description
Summary:Pretibial myxedema (PM) is an infiltrative dermopathy which is seen in grave’s disease. It is also associated with hypothyroidism, but is infrequently seen in Hashimoto’s thyroiditis. Lesions are seen commonly over pretibial region as non-pitting oedema or with a plaque morphology. Heat shock protein (HSP) has been reported to be expressed by fibroblasts present at affected site, which cause lesions of PM. Histopathology differentiates it from other dermatoses. Lesions usually resolve spontaneously, but therapies like potent topical steroids, intralesional steroids, gamma globulin, pentoxifylline, surgery and radiotherapy are indicated. Here, a case of PM with euthyroid Hashimoto’s thyroiditis has been reported, which was proven by histopathology.
ISSN:2249-782X
0973-709X