1); + to ++ pretibial edema was present. On pelvic examination a mass was palpated in the left adnexa. Figure 1 Characteristic Appearance and Distribution of Hyperglobulinemic Purpura in Case 1.

Right ventricular failure may cause bilateral pretibial edema, hepatomegaly, ascites or distension of the neck veins. During inspiration, an increase in the distension of neck veins may be ...

Medically reviewed by Katlein Franca, MD Skin, hair, and nail changes such as a thyroid rash are common with thyroid disease. These changes can be due to hormonal imbalances caused by thyroid disease.