Pretibial myxoedema is a well recognized complication of Graves diseas
e and occurs in approximately 5% of patients [8]. Many forms of treatm
ent have been proposed, ranging from topical steroids under occlusive
dressings [12] to plasmapheresis [7], but none has been universally su
ccessful. A simple shave excision without skin grafting was performed
on a severe case of pretibial myxoedema and a good cosmetic result was
achieved with no recurrence to date.