{"entities":{"Q44180":{"pageid":34548,"ns":120,"title":"Item:Q44180","lastrevid":161436,"modified":"2026-08-13T11:32:52Z","type":"item","id":"Q44180","labels":{"mul":{"language":"mul","value":"EB90.10"},"pt-br":{"language":"pt-br","value":"Mixedema pr\u00e9-tibial"},"en":{"language":"en","value":"Pretibial myxoedema"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Mixedema pr\u00e9-tibial \u00e9 uma forma de mucinose cut\u00e2nea difusa em que h\u00e1 ac\u00famulo de glicosaminoglicanos em excesso, especialmente \u00e1cido hialur\u00f4nico, em derme e subcut\u00e2neo. \u00c9 mais comumente observado nas pernas (\u00e1reas pr\u00e9-tibiais), mas ocorre em outras partes das extremidades inferiores. Manifesta-se como n\u00f3dulos, placas ou n\u00f3dulos viol\u00e1ceos ou acastanhados, firmes, n\u00e3o depress\u00edveis, assim\u00e9tricos, que tendem a coalescer para produzir extensas \u00e1reas de inderua\u00e7\u00e3o com apar\u00eancia de \"peau d'orange\" (casca de laranja)._x000D_ Quase sempre est\u00e1 associado a tireoidite autoimune (doen\u00e7a de Graves) e pode estar associado a baqueteamento digital (acropaquia) e exoftalmia (doen\u00e7a ocular da tireoide)."},"en":{"language":"en","value":"Pretibial myxoedema is a form of diffuse cutaneous mucinosis in which there is an accumulation of excess glycosaminoglycans, especially hyaluronic acid, in the dermis and subcutis. It is most commonly seen on the shins (pretibial areas) but does occur elsewhere on the lower extremities. It manifests as violaceous or brownish, firm, non-pitting, asymmetrical nodules or plaques or nodules which tend to coalesce to produce extensive areas of induration with a \"peau d'orange\" (orange peel) appearance. It is nearly always associated with autoimmune thyroiditis (Graves disease) and may be associated with finger clubbing (acropachy) and exophthalmos (thyroid eye disease)."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"39088a50f1dba328be10b020ea6817dca383efb5","datavalue":{"value":"https://id.who.int/icd/entity/1002130466","type":"string"},"datatype":"url"},"type":"statement","id":"Q44180$7A90D1EF-DB24-488B-AD1E-8F4E9CBF6B3F","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"a8d0ad00c2a4e7d167e02a0982e3d61f2a6a11ea","datavalue":{"value":"CID11:EB90.10","type":"string"},"datatype":"string"},"type":"statement","id":"Q44180$FC9ADA06-E028-4B03-93FF-DDAE244BC60B","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"214eb05469348be7880811ca226feff999e01207","datavalue":{"value":"dki-india-EB90.10","type":"string"},"datatype":"string"},"type":"statement","id":"Q44180$05F72667-B58C-40E4-8E09-1FA3DCC67A2B","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q44180$82425460-202B-4C69-A5A6-A98AD5DFAC75","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q44180$EAC43A41-9593-4D89-A071-3C3C055EF009","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q44180$DA83AA2E-DDCB-41D9-BB59-8E3B61351404","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"a42ce525f0bf0dd35e19cd805e606af344f3d758","datavalue":{"value":{"entity-type":"item","numeric-id":19703,"id":"Q19703"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q44180$962CD326-CE23-4A96-8395-63E123085F6A","rank":"normal"}]},"sitelinks":{}}}}