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Related to elephantiasic: elephantiasis
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A diagnosis of elephantiasic PTM with hypothyroidism (post-treatment of radioactive iodine therapy for hyperthyreosis) and thyroid-associated ophthalmopathy was made.
This second allegory depicts India as an "elephantiasic" imagined community, which, even though it aims to act as an alternative, inherits the structure of the modern nation, and falls apart precisely for this reason.
Mild forms of pretibial myxoedema may regress spontaneously, but the rare, severe elephantiasic variant is often resistant to different therapeutic approaches including local and systemic corticosteroids, compression, plasmapheresis, and immunosuppressive agents (Felton et al 2003, Srebrnik et al 1992, Schwartz et al 2002).