Psoriasiform Lesions and Abscesses as Initial Manifestations of Severe Hypothyroidism in a Previously Healthy 15-Year-Old Girl

A previously healthy 15-year-old girl presented with psoriasiform lesions and multiple abscesses, which were identified as initial manifestations of extremely severe hypothyroidism. The connection between these skin conditions and hypothyroidism was unclear, but the significant improvement in skin lesions following thyroid supplementation suggested a direct association. This case highlighted that severe hypothyroidism could present with novel cutaneous manifestations, potentially serving as early indicators of the disorder.