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Cobblestoned ankles in Graves disease: koebnerized elephantiasic pretibial myxoedema

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A 61-year-old man with Graves disease presented with bilateral perimalleolar cobblestoned plaques, elephantiasic pretibial myxoedema, with a linear koebnerized tract. Biopsy confirmed thyroid dermopathy (compact orthokeratosis, acanthosis, abundant interstitia... ...