Unbound MEDLINE

Treatment-resistant elephantiasic thyroid dermopathy responding to rituximab and plasmapheresis.

Abstract

A 44-year-old woman was diagnosed with Graves' disease in 1995 and over the following 12 months developed thyroid dermopathy (pretibial myxoedema). Despite being trialled on multiple recognized therapies over the course of 11 years, the patient's dermopathy progressively worsened. She developed ocular proptosis, elephantiasic thyroid dermopathy and acropachy in both hands. In mid 2006, the patient was started on rituximab and plasmapheresis, with rapid response. The patient's condition stabilized and in October 2009 at the age of 58 years she was able to cease therapy.

Links

  • Publisher Full Text
  • Authors

    Heyes C, Nolan R, Leahy M, Gebauer K

    Institution

    Department of Dermatology, Fremantle Hospital, Western Australia, Australia. chrisheyes@gmail.com

    Source

    The Australasian journal of dermatology 53:1 2012 Feb pg e1-4

    MeSH

    Adult
    Antibodies, Monoclonal, Murine-Derived
    Combined Modality Therapy
    Female
    Graves Disease
    Hand Dermatoses
    Humans
    Immunologic Factors
    Leg Dermatoses
    Myxedema
    Plasmapheresis
    Treatment Outcome

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22309343