“…It is well known that the cutaneous change in pretibial myxedema consists of the deposition of mutinous material throughout the dermis. Watson and Pearce (1949), in chemical analysis of whole skin from pretibial myxedema found an increased amount of hyaluronic acid, and to a lesser extent, chondroitin sulfate. On the contrary, Schiller et al (1962), in chemical analysis of skin in hypothyroid rats, found that the myxedematous tissue had an increased concentration of hyaluronic acid and a decreased amount of chondroitin sulfate B.…”