Circumscribed myxedema of the upper and lower extremities--a rate cutaneous manifestation of Basedow disease. Case report and review of the literature
Mooser, G.; Weber, L.; Kerscher, M.; Peter, R.U.
Der Hautarzt; Zeitschrift für Dermatologie Venerologie und verwandte Gebiete 52(5): 439-443
2001
ISSN/ISBN: 0017-8470 PMID: 11405164 Document Number: 539302
A 63 year old man presented with circumscribed myxedema surprisingly involving both the arms and legs. He had a history of thyroiditis with hyperthyroidism and an infiltrative ophthalmopathy leading to the diagnosis of Graves disease. At the time of presentation the patient had already been treated with radioactive iodine and undergone endonasal orbital decompression. We review the pathogenesis and treatment of Graves disease and discuss the first therapeutic attempt with PUVA-bath therapy.