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Pretibial myxedema (PM) is a rare extrathyroidal manifestation of Graves’ disease (GD), in about 1-5% of patients, usually co-existing with Graves’ orbitopathy. PM constitutes one of the classical forms of dermopathy in GD, presenting with a variety of symptomatology (from asymptomatic erythema to severe elephantiasic form). PM usually occurs during the hyperthyroid state of GD. PM has also rarely been described in patients with Hashimoto thyroiditis. 1Divisions of Dermatology and Endocrinology, Police Medical Center of Thessaloniki, Thessaloniki, Greece 2Laboratory of Histopathology “Histodiagnostiki”, Thessaloniki, Greece 3Laboratories “Analysis”, Thessaloniki, Greece

Pretibial myxedema in a euthyroid patient without history of autoimmune thyroid disease