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Myxedema (British English: myxoedema) is a term used synonymously with severe hypothyroidism.However, the term is also used to describe a dermatological change that can occur in hypothyroidism and (rare) paradoxical cases of hyperthyroidism.
Lichen myxedematous is a group of cutaneous disorders considered mucinoses. [1] [2] Conditions included in this group are: [2] Generalized lichen myxedematosus; Localized lichen myxedematosus; Discrete papular lichen myxedematosus; Acral persistent papular mucinosis; Self-healing papular mucinosis; Self-healing juvenile cutaneous mucinosis
Numerous therapies have been attempted, with varying degrees of success, such as dermabrasion, CO2 laser, intralesional injections of corticosteroids or hyaluronidase, oral retinoids, psoralen ultraviolet A, and pimecrolimus. [5]
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Papular mucinosis (also known as scleromyxedema, [1] [2] "generalized lichen myxedematosus" and "sclerodermoid lichen myxedematosus") is a rare skin disease. Localized and disseminated cases are called papular mucinosis or lichen myxedematosus while generalized, confluent papular forms with sclerosis are called scleromyxedema.
The SMAS is clinically important in facial plastic surgery for rhytidectomy (facelift procedure).During this procedure, the SMAS is accessed through an arch-shaped incision anterior to the ear; a portion of the SMAS is then excised and the remaining SMAS is stretched by drawing it posterior-ward and suturing it, thus making the skin of the face which overlies the SMAS taut.
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