PMC10395155_01
Pretreatment picture showing generalized skin hyperpigmentation (a), hyperpigmentation on tongue mucosa (b), and hyperpigmentation of knuckle creases (c).
10.1177_2050313X231190006-fig1.jpg
PMC10395155_01_10.1177_2050313X231190006-fig1.jpg
fig1-2050313X231190006
Hyperpigmentation of tongue mucosa was also observed, which the patient had not previously noticed (Figure 1).
Posttreatment picture showing significant improvement of generalized skin hyperpigmentation (a), hyperpigmentation on tongue mucosa (b), and hyperpigmentation of knuckle creases (c).
10.1177_2050313X231190006-fig2.jpg
PMC10395155_01_10.1177_2050313X231190006-fig2.jpg
fig2-2050313X231190006
After 6 months of treatment, he no longer felt fatigued, his body weight further increased by 25 kg (his final weight was 70 kg with a BMI of 25.7 kg/m2), his skin, as well as mucosal hyperpigmentation improved significantly (Figure 2), and his TSH level normalized without levothyroxine supplementation (Figure 3, Table 3).
Trend of hematologic indices in relation to the patient's treatment.
10.1177_2050313X231190006-fig3.jpg
PMC10395155_01_10.1177_2050313X231190006-fig3.jpg
fig3-2050313X231190006
After 6 months of treatment, he no longer felt fatigued, his body weight further increased by 25 kg (his final weight was 70 kg with a BMI of 25.7 kg/m2), his skin, as well as mucosal hyperpigmentation improved significantly (Figure 2), and his TSH level normalized without levothyroxine supplementation (Figure 3, Table 3).