This post is an answer to the Case – Bilateral, Nodular, Plaques on Shins
A 57-year-old man complaining of orbital pain, anxiety, and a tremor. On examination, he had edema and retraction of his eyelids and an obvious tremor.
6 months earlier, he had been diagnosed with autoimmune hypothyroidism after he began to gain weight and complained of feeling tired.
His thyroid-stimulating hormone (TSH) concentration was raised at 83 mIU/L (normal range 0,3–4,6), free thyroxine (T4) concentration was 5,9 pmol/L (normal range 10–23), and the antithyroid peroxidase antibody concentration was markedly elevated at 1488 IU/mL (normal level <101). The thyroid gland was recorded as being minimally enlarged. At that stage the patient had been started on levothyroxine.
SIMILAR CASE: Pretibial Hyperkeratosis, Fissuring, and Verrucous Nodules