Thyroid Ophthalmopathy, Dermopathy, and Acropachy - Proptosis (Panel A) and pretibial myxedema (Panel B). His physical examination showed progression of the dermopathy, which was functionally limiting and resembled elephantiasis (Panel C). In addition, his hands were enlarged and coarsened, and his fingers had a clublike shape (Panel D) #Clinical #Endo #Graves #Proptosis #Myxedema #Acropachy #NEJM