ÖZET
Tiroid akropaçisi, karakteristik görüntüleme bulgularının gözlendiği nadir otoimmün tiroid hastalığının nadir bir tezahürüdür. Klinik olarak, neredeyse her zaman tiroid oftalmopati ve dermopatisi ile ilişkilidir. Tırnaklarda çomaklaşma ve el ve ayak parmaklarında şişlikler şeklinde görülür. Özellikle ellerin ve ayakların simetrik şişmesi ve tırnakların çomaklaşması birçok hepatik, pulmoner, renal ve hatta romatolojik hastalıkla ayırıcı tanı gerektirebilir. Radyolojik olarak yumuşak doku şişmesi ve periosteal yeni kemik oluşumları özellikle önemlidir. Burada, el ve ayaklarda bilateral şişlik ile başvuran ve klinik ve radyolojik değerlendirmelerle tiroid akropaçisi tanısı alan 22 yaşında Graves tanılı bir kadın hasta sunuldu.
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