A new method of treating pretibial myxoedema

Pretibial myxoedema is a well recognized complication of Graves disease and occurs in approximately 5% of patients [8]. Many forms of treatment have been proposed, ranging from topical steroids under occlusive dressings [12] to plasmapheresis [7], but none has been universally successful. A simple shave excision without skin grafting was performed on a severe case of pretibial myxoedema and a good cosmetic result was achieved with no recurrence to date.