The patient complained of dry and itchy skin on her lower legs which was not improving with the application of a moisturizer. Other symptoms included fatigue and weight gain despite poor appetite. The rash got resolved with a mild topical steroid ointment and a thicker emollient. Thyroid function tests revealed elevated thyroid-stimulating hormone (TSH) level and free T4 just below the normal range, which was considered significant.
What is the diagnosis? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: DermNet. Correct answer is posted here.
