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Raised nodular lesions on patient's shins at presentation.

Nodular Thyroid Dermopathy: Not a Hallmark of Graves Disease

  A 40-year-old man presented to the outpatient department with complaints of multiple, nontender, raised nodular lesions on his shins bilaterally for the past year (Figure 1). The lesions had an insidious onset and were progressively increasing in size. He was evaluated at an outside clinic. Biopsy was performed multiple times, and possibility of spindle […]

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Don’t Forget the Thyroid

Don’t Forget the Thyroid: Graves’ Disease An atypical presentation can confound the diagnosis, and that is what happened when a 33-year-old African-American woman presented to another hospital with a 3-month history of worsening abdominal pain. She had been in good health until she started experiencing persistent abdominal pain and distension associated with nausea, vomiting, loose […]

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May 2011: New articles in press posted on AJM’s website

Several new articles in press were uploaded to The American Journal of Medicine’s website this week — along with the new May 2011 issue. Here are links to some of the new case studies now online… Elephantiasic Thyroid Dermopathy Bath Salts as a “Legal High” Hydroxycitric Acid Dietary Supplement-Related Herbal Nephropathy

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eyes

Not a Graves’ Situation

To physicians, it appeared that the patient surely had Graves’ disease, but this was not the case. Several months before his admission to the Endocrinology Department, a 48-year-old man developed rapidly growing eyelid swelling, the feeling of having sand in his eyes, redness of the conjunctivae, diplopia, and photophobia. He worked as a driver, so […]

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