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OCR: Thyroid acropachy is one of the rarer s with Graves' disease and is usually associat Ing of the localised myxoedema. It resembles clu nails is gers (Fig. fingers (and toes), and the curving of t most marked in the thumb and index mation 17.42). Patchy subperiosteal new bone ble on may be apparent clinically or may be v X-ray and differs from the linear new hropathy, formation seen in hypertrophic osteos