case_images: PMC529452_01
case_images: Pretherapeutic clinical appearance of a 64-year-old patient consistent with the diagnosis of EMO syndrome, exophthalmus (a), combined lymphatic congestion and pretibial myxedema (b) and palmoulnar fibromatosis (intrasurgical, c).
case_images: 1471-5945-4-17-1.jpg
case_images: PMC529452_01_1471-5945-4-17-1.jpg
case_images: F1
case_images: Clinical examination confirmed massive pretibial myxedema, lymphatic congestion of the lower legs, generalized myxedema accentuating the upper limps, a residual postsurgical nodular tumor of the ulnar aspect of the right hand, exophthalmus, and severe hypertrophic osteopathy of the distal phalanges with clubbed fingers and hippocratic nails (Fig. 1).