In the literature we rarely see thyroid acropachy
cases with thinkenings on acral regions, normal radiography concurently; or cases without other symptoms and signs of Graves' disease.
8 Thyroid acropachy
noted in (less then) 1 in 1000 patients9 and other autoimmune events such as vitiligo, premature graying of hair and urticaria may be present.
The differential diagnosis includes secondary HOA, acromegaly, thyroid acropachy
and syphilitic periostitis.