PMC4246146_01
Pretibial myxedema with peau d'orange (orange peel) appearance and square toes.
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PMC4246146_01_JCHIMP-4-25502-g001.jpg
F0001
She also had diffuse, waxy thickening of skin involving pretibial area and dorsum of the foot with peau d'orange appearance (Fig. 1); however, there were no signs of thyromegaly or ophthalmopathy.