case_images: PMC10395155_01
case_images: Pretreatment picture showing generalized skin hyperpigmentation (a), hyperpigmentation on tongue mucosa (b), and hyperpigmentation of knuckle creases (c).
case_images: 10.1177_2050313X231190006-fig1.jpg
case_images: PMC10395155_01_10.1177_2050313X231190006-fig1.jpg
case_images: fig1-2050313X231190006
case_images: Hyperpigmentation of tongue mucosa was also observed, which the patient had not previously noticed (Figure 1).
case_images: Posttreatment picture showing significant improvement of generalized skin hyperpigmentation (a), hyperpigmentation on tongue mucosa (b), and hyperpigmentation of knuckle creases (c).
case_images: 10.1177_2050313X231190006-fig2.jpg
case_images: PMC10395155_01_10.1177_2050313X231190006-fig2.jpg
case_images: fig2-2050313X231190006
case_images: 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).
case_images: Trend of hematologic indices in relation to the patient's treatment.
case_images: 10.1177_2050313X231190006-fig3.jpg
case_images: PMC10395155_01_10.1177_2050313X231190006-fig3.jpg
case_images: fig3-2050313X231190006
case_images: 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).