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March 1934


Arch Derm Syphilol. 1934;29(3):438-443. doi:10.1001/archderm.1934.01460090107014

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Localized Myxedema. Presented by Dr. S. E. Sweitzer, Minneapolis.  The patient, a fairly well developed man, aged 62, presents lesions on the lower parts of the legs. He says that he had a subtotal thyroidectomy in 1917 and a second operation in 1926 because of a return of the goiter. About 1931, he says, the legs began to swell, following which numerous lumps appeared below the knees. Over the tibial crests are numerous reddish nodules, varying in size from that of a pea to that of a nut, and moderately firm. On palpation the lesions give the impression of being filled with fluid. There is a plaque about 3 by 3 cm. on the right great toe and there are others on the calf of each leg. The rest of the body is free from infection. The basal metabolic rate was found to be plus 65. There are slight exophthalmos

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