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Michael P. Noonan, MD; Carmen Myrie Williams, MD; Mervyn L. Elgart, MD

Arch Dermatol. 1994;130(6):791-792.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

In August 1986, Graves' disease developed in a 38-year-old white woman. She received treatment with radioiodine. In June 1989, Lugol's solution and propylthiouracil were administered in preparation for thyroidectomy. Three days later, pustules developed on her hands, face, scalp, and legs. Both medications were withdrawn and the lesions soon cleared. In July 1989, Lugol's solution was restarted, and 3 days later she began to ''break out'' on her knees and ankles. Lugol's solution was discontinued. The patient underwent subtotal bilateral thyroidectomy. Five days postoperatively, erythematous, tender, and painful plaques and papules developed around the incision on her neck.

She was found to have tender 1- to 4-cm oozing plaques with superimposed pustules and crusting on an erythematous base (Figure 1). Lesions were scattered on her face, arms, legs, scalp, and neck. A 10-cm erythematous plaque with surrounding pustules engulfed the thyroidectomy wound on the anterior neck . . . [Full Text PDF of this Article]

Author Affiliations
George Washington University, Washington, DC

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