Triad of Thyroid Ophthalmopathy, Dermopathy, and Acropachy.

Skinmed Pub Date : 2024-08-02 eCollection Date: 2024-01-01
Annie Jin, Medhavi Jogi, Sylvia Hsu
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Abstract

A 40-year-old African-American man was referred to our dermatology clinic for management of his long-standing thyroid dermopathy. The patient was diagnosed with hyperthyroidism at the age of 20, and was treated with radioactive iodine I-131 but subsequently lost to follow-up. He had not consulted physicians again until the age of 30. Then he presented with severe thyroid eye disease, significant weight gain, hypothy-roidism, and painful leg swelling. Levothyroxine was initiated, which stabilized his thyroid levels but had no effect on his exophthalmos and leg swelling.

甲状腺眼病、皮肤病和甲状腺肿三联征
一名 40 岁的非裔美国男子被转诊到我们的皮肤科诊所,以治疗其长期存在的甲状腺皮肤病。患者在 20 岁时被诊断出患有甲状腺功能亢进症,并接受了放射性碘 I-131 治疗,但随后失去了随访机会。直到 30 岁时,他才再次就诊。之后,他出现了严重的甲状腺眼病、体重明显增加、甲状腺功能减退和腿部肿胀疼痛。开始服用左甲状腺素后,他的甲状腺水平趋于稳定,但对眼球外翻和腿部肿胀没有任何影响。
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