title: Pretibial Myxedema Associated with Euthyroid Hashimoto's Thyroiditis: A Case Report.
abstract: 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.
authors.affiliation: Professor, Department of Dermatology and Venereology, Pramukhswami Medical College , Karamsad, Anand, Gujarat, India .
authors.forename: Pragya A
authors.initials: PA
authors.lastname: Nair
authors.affiliation: Associate Professor, Department of Medicine, Pramukhswami Medical College , Karamsad, Anand, Gujarat, India .
authors.forename: Ajay
authors.initials: A
authors.lastname: Mishra
authors.affiliation: Resident, Department of Dermatology and Venereology, Pramukhswami Medical College , Karamsad, Anand, Gujarat, India .
authors.forename: Arvind
authors.initials: A
authors.lastname: Chaudhary
keywords: Euthyroid; Hashimoto’s thyroiditis; Pretibial myxedema