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  Vol. 74 No. 4, October 1956 TABLE OF CONTENTS
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Hydrocortisone in the Treatment of Localized Myxedema

R. ROY FORSEY, M.D., F.R.C.P.(C); A. W. ANHALT, M.D.

AMA Arch Derm. 1956;74(4):352-354.

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

Much concentrated effort in research has been made in the past decade as to the etiology, pathology, and treatment of localized pretibial myxedema. Progress in the understanding of this condition, except that of therapy, has been encouraging. The association of exophthalmos and localized myxedema has been noted by many authors,* and there would seem to be a common etiology.

The present concept is that this disease is not due to thyroid dysfunction but rather due to a disturbance of the pituitary-thyroid relationship. In hyperthyroidism, the thyroid-stimulating hormone of the anterior pituitary (TSH) is increased, and after thyroidectomy the TSH factor is no longer inactivated by thyroxin or some unknown factor of the thyroid.{dagger} This factor of the anterior pituitary then continues, producing exophthalmos and/or pretibial myxedema. Lately a hormone has been isolated from the anterior pituitary gland which will cause exophthalmos.{ddagger}

General therapy has consisted of . . . [Full Text PDF of this Article]


Author Affiliations

From the Department of Dermatology, Montreal General Hospital.


Footnotes

Submitted for publication Dec. 21, 1955.



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