Pretibial Myxedema Treatment & Management

Updated: Jul 08, 2020
  • Author: Ranjodh Singh Gill, MD, FACP, CCD; Chief Editor: Dirk M Elston, MD  more...
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Approach Considerations

The lesions of pretibial myxedema (PTM) are primarily of cosmetic concern, although severe elephantiasic forms may lead to significant limb enlargement and impair function. Surgical treatment should be avoided because scarring may aggravate the dermopathy, and benefits are equivocal.

Local application of corticosteroids remains the mainstay of treatment. Compression wraps or stockings that provide 20-40 mm Hg of pressure can be useful as an adjunctive therapy. Fractional laser ablation has been reported as beneficial. [16]

A dermatologist should be consulted for an evaluation of lesions in suspected PTM and an endocrinologist for an evaluation of possible underlying thyroid disease.