CASE REPORT-Delayed Cutaneous Manifestations of Graves’ disease, ADecade Post-Total Thyroidectomy

2020 ◽  
Vol 3 (2) ◽  
pp. 1-4
Keyword(s):  
Case Report ◽  
Total Thyroidectomy ◽  
Lower Limbs ◽  
Graves Disease ◽  
Cutaneous Manifestations ◽  
Digital Clubbing ◽  
Pretibial Myxoedema

Pretibial myxoedema and thyroid acropachy are rare manifestations of Graves’ disease. Clinically, pretibial myxoedema is characterised by hyper-pigmented,asymmetrical, indurated non-pitting lesions of the lower limbs, whilst thyroidacropachy presents as digital clubbing and swelling of digits and toes. We describe a59-year-old female, who presents with pretibial myxoedema and thyroid acropachy,a decade post-thyroidectomy for Graves’ disease.

scholarly journals A Patient with Graves’ Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Adrian Reber ◽  
Laura Valenti ◽  
Stephan Müller
Keyword(s):  
Case Report ◽  
High Risk ◽  
Total Thyroidectomy ◽  
Thyroid Storm ◽  
Graves Disease ◽  
Hormone Regulation ◽  
Medication Nonadherence ◽  
Organ Complications

In patients with failed hormone regulation who are scheduled for indispensable total thyroidectomy, the risk of thyroid storm with severe end-organ complications has to be anticipated. This case report presents the successful surgical and anaesthesiological management of a patient with Graves’ disease, without any signs of perioperative thyroid storm. Possible recommendations for treatment are presented.

scholarly journals Pyoderma gangrenosum with renal and splenic impairment - case report

2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 150-153 ◽  
Author(s):  
Luciana Rabelo de Carvalho ◽  
Virgínia Vinha Zanuncio ◽  
Bernardo Gontijo
Keyword(s):  
Case Report ◽  
Renal Impairment ◽  
Pyoderma Gangrenosum ◽  
Lower Limbs ◽  
Neutrophilic Dermatosis ◽  
Internal Organs ◽  
Cutaneous Manifestations ◽  
Neutrophilic Infiltrate ◽  
Multisystemic Disease

Pyoderma gangrenosum is an uncommon and recurrent neutrophilic dermatosis of unknown cause. The lesions usually start as tender sterile papulopustules or erythematous nodules that undergo necrosis followed by ulceration. The lower limbs are most commonly affected and around half of the cases are associated with systemic disorders. Although rare, cases of pyoderma gangrenosum with extramucocutaneous sterile neutrophilic infiltrate have been reported, with the lungs being the most commonly affected organ. We report a case of pyoderma gangrenosum with splenic and renal impairment. Pyoderma gangrenosum should be considered a multisystemic disease with classic cutaneous manifestations and potential involvement of internal organs.

scholarly journals Graves’ disease in a mediastinal mass presenting after total thyroidectomy for nontoxic multinodular goiter: a case report

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Filipe Manuel Cunha ◽  
Elisabete Rodrigues ◽  
Joana Oliveira ◽  
Ana Saavedra ◽  
Luís Sá Vinhas ◽  
...  
Keyword(s):  
Case Report ◽  
Total Thyroidectomy ◽  
Multinodular Goiter ◽  
Mediastinal Mass ◽  
Graves Disease

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

Coexistence of Graves' disease and unilateral benign struma ovarii: A case report

2017 ◽  
Author(s):  
Rosa Marquez-Pardo ◽  
Lourdes Garcia-Garcia-Doncel ◽  
Mgloria Baena-Nieto ◽  
Manuel Cayon-Blanco ◽  
Rosario Lopez-Velasco ◽  
...  
Keyword(s):  
Case Report ◽  
Graves Disease ◽  
Struma Ovarii

The association between the levels of the TSI antibodies and thyroid cancer among patients with Graves' disease who have undergone total thyroidectomy

2019 ◽  
Author(s):  
Georgios Boutzios ◽  
Eugenia Kotsifa ◽  
Nefeli Tomara ◽  
Eleni Koukoulioti ◽  
Zoe Garoufalia ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Total Thyroidectomy ◽  
Graves Disease

Influence of Total Thyroidectomy on Orbital Opthalmopathy and Levels of Antithyroid Antibodies in Patients with Graves' Disease

2007 ◽  
Vol 79 (3) ◽  
Author(s):  
Paweł Domosławski ◽  
Tadeusz Łukieńczuk ◽  
Zdzisław Forkasiewicz ◽  
Waldemar Balcerzak ◽  
Wiktor Bednarz ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Graves Disease ◽  
Antithyroid Antibodies
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