Woman Concerned About Bilateral Leg Patches – Let’s Diagnose

A 38-year-old woman with a history of overactive thyroid went to the doctor with concerns about bilateral hyperpigmented patches on her lower legs. They had developed slowly over several months. A few nodules appeared more recently. The area appeared slightly swollen and the skin felt firm and thickened with a slightly waxy appearance.

Is it cellulitis, stasis dermatitis, pretibial myxedema, or sarcoidosis?

The correct answer is…

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